Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01085809A | IN |
NPI | 1346770229 |
---|---|
Provider Name | Krystine Ann Haglin |
First Address | Brownsburg, IN 46112-8142 |
Second Address | Carmel, IN 46032-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2017 |
Last Update Date | 08/09/2021 |