Individual
ROBERT E HASELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, METHODIST RADIATION THERAPY, ST LOUIS PARK, MN 55426-4702
(952) 993-6032
(952) 993-5512
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
21699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06667HA
BLUE CROSS/BLUE SHIELD
MN
05
—
085005500
—
MN
01
—
104841
UCARE
MN
01
—
110582
CHOICE PLUS
MN
01
—
2400004
MEDICA PRIMARY
MN
01
—
2402659
MEDICA
MN
01
—
25140
AMERICA'S PPO
MN
05
—
30624100
—
WI
01
—
963070250001
PREFERRED ONE
MN
01
—
HP13510
HEALTH PARTNERS
MN
Enumeration date
08/17/2005
Last updated
08/05/2021
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