Provider Demographics
NPI:1073951059
Name:HAUGSDAL, MICHAEL LARSON (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LARSON
Last Name:HAUGSDAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:UIHC, DEPT OF OB/GYN
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2294
Mailing Address - Fax:319-356-7533
Practice Address - Street 1:200 HAWKINS DR.
Practice Address - Street 2:UIHC, DEPT OF OB/GYN
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52241-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2294
Practice Address - Fax:319-356-7533
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2017-04-18
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Provider Licenses
StateLicense IDTaxonomies
IAR-9698207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology