Provider Demographics
NPI:1548235443
Name:HAUGAN, KRISTIN (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HAUGAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7701 YORK AVE S
Mailing Address - Street 2:STE 300
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5864
Mailing Address - Country:US
Mailing Address - Phone:952-926-6489
Mailing Address - Fax:952-926-6501
Practice Address - Street 1:6363 FRANCE AVE S
Practice Address - Street 2:SUITE 525
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2129
Practice Address - Country:US
Practice Address - Phone:952-926-6489
Practice Address - Fax:952-915-5261
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-09-30
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Provider Licenses
StateLicense IDTaxonomies
MN35405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNF85680Medicare UPIN