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Individual

ADAM RUSSELL HAAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
640 FLORMANN ST, RAPID CITY, SD 57701
(605) 718-3300
(605) 718-3426
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0666
SD

Other

Enumeration date
01/17/2008
Last updated
01/23/2013
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