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Mark Woods Haecker, MD

Anesthesiology in Brainerd, MN. Individual provider (NPI-1).

NPI number1063565166
StatusActive
Last updated in NPPESJan 8, 2016

Details

NPI
1063565166
Entity type
Individual (NPI-1)
Name
Mark Woods Haecker
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2007
Last updated
Jan 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology41179MNYes

Practice location

523 N 3rd St
Brainerd, MN 56401-3054

Phone 218-829-2861

Mailing address

523 N 3rd St
Brainerd, MN 56401-3054

Phone 218-829-2861

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