Provider Demographics
NPI:1508815440
Name:WERNER, HALEIGH ANN (MD)
Entity Type:Individual
Prefix:
First Name:HALEIGH
Middle Name:ANN
Last Name:WERNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4525 3RD AVE SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1010
Mailing Address - Country:US
Mailing Address - Phone:360-412-8969
Mailing Address - Fax:360-412-8970
Practice Address - Street 1:4525 3RD AVE SE
Practice Address - Street 2:SUITE 100
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1010
Practice Address - Country:US
Practice Address - Phone:360-412-8960
Practice Address - Fax:360-412-8970
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2012-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000433142085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G84912Medicare UPIN