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Individual

DR. BRIAN PETER HAAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2405 INGERSOLL AVE, DES MOINES, IA 50312-5233
(515) 244-2338
Mailing address
7210 MONROE CT, URBANDALE, IA 50322-3120
(515) 270-0595

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1951
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077198
IA
Enumeration date
01/06/2007
Last updated
07/08/2007
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