Robert John Haake, D.O. Valid NPI

Individual provider · Internal Medicine Physician · Eagle, ID

NPI

1295747046

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

O-0520 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-12

Last updated

2013-07-16