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Organization

KRIS A HAASE DPM PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRIS A HAASE DPM (OWNER)
(248) 666-8807
Entity
Organization

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
0F36074
BLUE CROSS
MI
01
1073650206
MEDICARE DME
MI
01
1922054220
MEDICARE ADVANTAGE
MI
01
480033238
RAILROAD MEDICARE
MI
01
4856359200
BLUE CROSS
MI
01
7599462
AETNA
MI
01
C8124
M-CARE
MI
Enumeration date
05/26/2006
Last updated
11/08/2011
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