Basic Information
| Provider Information | |||||||||
| NPI: | 1730356098 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAUGLAND | ||||||||
| FirstName: | ERIK | ||||||||
| MiddleName: | STANLEY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5615 XERXES AVE N | ||||||||
| Address2: | SUITE D | ||||||||
| City: | BROOKLYN CENTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554302819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635815630 | ||||||||
| FaxNumber: | 7635815631 | ||||||||
| Practice Location | |||||||||
| Address1: | 5615 XERXES AVE N | ||||||||
| Address2: | SUITE D | ||||||||
| City: | BROOKLYN CENTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554302819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635815630 | ||||||||
| FaxNumber: | 7635815631 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2008 | ||||||||
| LastUpdateDate: | 11/02/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 53023 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.