Individual
MICHELE RAE HAEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
804 PLUM ST, SOLON, IA 52333-9514
(612) 999-5431
Mailing address
804 PLUM ST, SOLON, IA 52333-9514
(612) 999-5431
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
108795
IA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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