Individual
JAMES R HAEBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S MILL ST, FERGUS FALLS, MN 56537-2756
(218) 739-2221
(218) 739-5501
Mailing address
615 S MILL ST, FERGUS FALLS, MN 56537-2756
(218) 739-2221
(218) 739-5501
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46990
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091256
—
OR
01
—
1041963
PREFERRED ONE NUMBER
MN
01
—
132318
U-CARE NUMBER
MN
05
—
13656
—
ND
01
—
3700042
MEDICA NUMBER
MN
05
—
41091744413
—
NE
01
—
485T3HA
BCBS NUMBER
MN
Enumeration date
08/16/2006
Last updated
07/09/2007
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