MARK TYE HAEBERLE

LOUISVILLE, KY
NPI1558650291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: KY  47890)
Enumeration Date2011-04-04
Last Update Date2018-07-17
Business Address
MARK TYE HAEBERLE
3810 SPRINGHURST BLVD SUITE 200
LOUISVILLE, KY 40241
Phone number: 502-583-1749
Mailing Address
MARK TYE HAEBERLE
PO BOX 950132
LOUISVILLE, KY 40295-0132
Phone number: 888-980-8992
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