Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 8785 | CO |
N | 213EG0000X | General Practice | 8785 | CO |
N | 1223P0221X | Pediatric Dentist | 6651 | NE |
Y | 1223P0221X | Pediatric Dentist | S37 | MN |
NPI | 1013909381 |
---|---|
Provider Name | Dr. Julie C Haman |
First Address | Saint Paul, MN 55106-1624 |
Second Address | Saint Paul, MN 55106-1624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 21/02/2012 |