Provider Demographics
NPI:1790010668
Name:MUSSELMAN-HAAS, EMILY E (DO)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:E
Last Name:MUSSELMAN-HAAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1722 CLARKSON RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4976
Mailing Address - Country:US
Mailing Address - Phone:636-206-2665
Mailing Address - Fax:636-206-2664
Practice Address - Street 1:1722 CLARKSON RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4976
Practice Address - Country:US
Practice Address - Phone:636-206-2665
Practice Address - Fax:636-206-2664
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI53691207Q00000X
MO2014006969207Q00000X
WV53691207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine