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Individual

KRIS A HAASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7116 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 666-8807
(248) 666-7709
Mailing address
7116 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 666-8807
(248) 666-7709

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
KH001672
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480033238
RAILROAD MEDICARE
MI
01
4856359200
BLUE CROSS AND BLUE SHIEL
MI
01
7599462
AETNA
MI
01
C8124
M CARE
MI
01
KH001672
MICHIGAN LICENSE
MI
Enumeration date
07/14/2005
Last updated
04/19/2013
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