Individual
MARK HAUSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CANCER CENTER B-44, MSC08 4620, ALBUQUERQUE, NM 87131-0001
(505) 272-2525
Mailing address
CANCER CENTER B-44, MSC08 4620, ALBUQUERQUE, NM 87131-0001
(505) 272-2525
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82-60
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112095
—
AZ
05
—
29785
—
NM
05
—
91082602
—
CO
Enumeration date
08/01/2006
Last updated
02/28/2008
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