Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 017923 | ME |
N | 111NI0900X | Internist | 017923 | ME |
N | 207R00000X | Internist | EC-05-064 | ME |
N | 111NI0900X | Internist | EC-05-064 | ME |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 04-39352 | KS |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2016036720 | MO |
Y | 207RC0000X | Internist - Cardiovascular Disease | 70340 | MN |
N | 207RC0000X | Internist - Cardiovascular Disease | MD49671 | TN |
NPI | 1023199189 |
---|---|
Provider Name | Dr. Nicholas A Haglund |
First Address | Kansas City, KS 66160-8500 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 18/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023199189 | (05) | MO |
201146210B | (05) | KS |
30208169 | (05) | NH |
433197099 | (05) | ME |