MARK ALLEN HAGGENJOS

PORTLAND, IN
NPI1619935475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001027A)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  02001027A)
208M00000X Hospitalist
(Licence: IN  02001027A)
Enumeration Date2006-05-02
Last Update Date2021-01-08
Business Address
Dr. MARK ALLEN HAGGENJOS D.O.
428 WEST VOTAW STREET SUITE A
PORTLAND, IN 47371-0710
Phone number: 260-726-8822
Mailing Address
Dr. MARK ALLEN HAGGENJOS D.O.
1200 W WHITE RIVER BLVD
MUNCIE, IN 47303-4988
Phone number: 877-668-5621