Provider Demographics
NPI:1417916057
Name:HAAS, STEVEN G (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:HAAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N GRANDVIEW AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6328
Mailing Address - Country:US
Mailing Address - Phone:563-583-9300
Mailing Address - Fax:563-557-5574
Practice Address - Street 1:320 N GRANDVIEW AVE
Practice Address - Street 2:SUITE D
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6328
Practice Address - Country:US
Practice Address - Phone:563-583-9300
Practice Address - Fax:563-557-5574
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27189207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0050088Medicaid
IAE96561Medicare UPIN
IA0050088Medicaid
IA04537Medicare PIN