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Individual

DR. TERRENCE D HAFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 N MADISON AVE, GREENWOOD, IN 46142-4135
(317) 888-3508
Mailing address
PO BOX 4780, BLOOMINGTON, IN 47402-4780
(812) 336-1690
(812) 349-1311

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01049031A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01049031A
INDIANA LICENSE
IN
01
01049031B
CSR
IN
Enumeration date
05/24/2006
Last updated
03/07/2023
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