Michael B Haidsiak, PT

NPI #1316273519 in East Moline, Illinois

Provider Information

NPI Number: 1316273519
Entity Type: Individual
Name: Michael B Haidsiak, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 22, 2009
Last Updated: Oct 22, 2009

Practice Location

Address: 465 42ND AVE STE 140
City: East Moline
State: Illinois
ZIP Code: 61244-4004
Phone: (309) 779-3490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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