Provider Demographics
NPI:1518016161
Name:HAASE, GERALD M (MD)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:M
Last Name:HAASE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5655 S GRAPE CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2116
Mailing Address - Country:US
Mailing Address - Phone:303-861-6278
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSP OF DENVER
Practice Address - Street 2:1056 E. 19TH AVE., BOX B-190
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218
Practice Address - Country:US
Practice Address - Phone:303-861-6278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA375692086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology