Individual provider · NPI-1

Michael Klair Haseman, MD

Nuclear Medicine · Roseville, CA

NPI number1073519781
StatusActive
Last updated in NPPESOct 10, 2011

Details

NPI
1073519781
Entity type
Individual (NPI-1)
Name
Michael Klair Haseman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2005
Last updated
Oct 10, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear MedicineG44379CAYes
207UN0901X Nuclear Medicine, Nuclear Cardiologyg44379CA
207UN0902X Nuclear Medicine, Nuclear Imaging & TherapyG44379CA
207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear MedicineG44379CA

Practice location

2241 Douglas Blvd
Ste 110
Roseville, CA 95661-3831

Phone 916-783-8900 · Fax 916-789-1550

Mailing address

1500 Expo Pkwy
Sacramento, CA 95815-4227

Phone 916-646-8300 · Fax 916-920-4434

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