John Haastrup, M.D.
Family Medicine in Madisonville, KY. Individual provider (NPI-1).
NPI number1760660765
StatusActive
Last updated in NPPESFeb 20, 2008
Details
- NPI
- 1760660765
- Entity type
- Individual (NPI-1)
- Name
- John Haastrup
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2008
- Last updated
- Feb 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301091214 | MI | Yes |
Practice location
912 N Kentucky Ave # A16Madisonville, KY 42431-1663
Phone 270-825-0813
Mailing address
912 N Kentucky Ave # A16Madisonville, KY 42431-1663
Phone 270-825-0813
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