Provider Demographics
NPI:1235286246
Name:HASIK, KARL JOSEPH (MD)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:JOSEPH
Last Name:HASIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MEDICAL PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:IA
Mailing Address - Zip Code:51442-2614
Mailing Address - Country:US
Mailing Address - Phone:712-265-2700
Mailing Address - Fax:712-265-2745
Practice Address - Street 1:100 MEDICAL PKWY STE A
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:IA
Practice Address - Zip Code:51442-2614
Practice Address - Country:US
Practice Address - Phone:712-265-2700
Practice Address - Fax:712-265-2745
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-40552207V00000X
ART2006-184207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A11862Medicare UPIN