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Contact Information

ANITA N HAGGSTROM, MD
550 UNIVERSITY BLVD
UH3240
INDIANAPOLIS, IN46202-5149
 Phone: 317-274-7744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ANITA N HAGGSTROM · (Female)

NPI # 1639288723
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 04/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01062369A
  • IN Medicaid 200833310
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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