Provider Demographics
NPI:1861484669
Name:HASELOW, ROBERT E (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:HASELOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7401 METRO BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-3086
Mailing Address - Country:US
Mailing Address - Phone:952-920-4915
Mailing Address - Fax:952-915-6091
Practice Address - Street 1:6500 EXCELSIOR BLVD
Practice Address - Street 2:METHODIST RADIATION THERAPY
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4702
Practice Address - Country:US
Practice Address - Phone:952-993-6032
Practice Address - Fax:952-993-5512
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN216992085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN06667HAOtherBLUE CROSS/BLUE SHIELD
MN25140OtherAMERICA'S PPO
MN104841OtherUCARE
MN110582OtherCHOICE PLUS
WI30624100Medicaid
MN963070250001OtherPREFERRED ONE
MN085005500Medicaid
MN2400004OtherMEDICA PRIMARY
MN2402659OtherMEDICA
MNHP13510OtherHEALTH PARTNERS