Individual provider · NPI-1

John G Haeberle, M.D.

Family Medicine · Newcastle, WY

NPI number1619901907
StatusActive
Last updated in NPPESDec 23, 2025

Details

NPI
1619901907
Entity type
Individual (NPI-1)
Name
John G Haeberle
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2006
Certification date
Dec 23, 2025
Last updated
Dec 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine8128AWYYes

Practice location

1121 Washington Blvd
Newcastle, WY 82701-2968

Phone 307-746-6720 · Fax 307-746-9744

Mailing address

1121 Washington Blvd
Newcastle, WY 82701-2968

Phone 307-746-6720 · Fax 307-746-9744

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