Provider Demographics
NPI:1538145560
Name:HASELHUHN, GREGORY DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:DEAN
Last Name:HASELHUHN
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 1:2000 REGENCY CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3090
Mailing Address - Country:US
Mailing Address - Phone:419-725-1900
Mailing Address - Fax:419-725-1905
Practice Address - Street 1:2000 REGENCY CT
Practice Address - Street 2:SUITE 200
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3090
Practice Address - Country:US
Practice Address - Phone:419-725-1900
Practice Address - Fax:419-725-1905
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35068258174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0186276Medicaid
OHGO9726Medicare UPIN
OHHA0788165Medicare ID - Type Unspecified