Individual provider · Type 1 NPI

Terese Marie Haasken, PA-C

Surgical Physician Assistant · Edina, MN

NPI number 1639196389 Active

Practice location

4010 W 65th St
Edina, MN 55435-1706

Fax (952) 456-7001

Mailing address

4200 Dahlberg Dr, Suite 300
Golden Valley, MN 55422-4840

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10160 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1639196389

Terese Marie Haasken, PA-C's National Provider Identifier is 1639196389, issued on Jul 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edina, MN. The record was last updated on Aug 15, 2012.