Individual
KAMERON MCKENZIE HAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 263-3111
(608) 263-6663
Mailing address
1100 DELAPLAINE CT, MADISON, WI 53715-1840
(608) 263-4550
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
86859
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871346601
—
WI
Enumeration date
04/10/2024
Last updated
05/04/2026
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