BENJAMIN HABERLY

SOUTH BEND, IN
NPI1679176200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IN  10003022A)
Enumeration Date2020-11-17
Last Update Date2023-11-08
Business Address
BENJAMIN HABERLY
53880 CARMICHAEL DR
SOUTH BEND, IN 46635-1567
Phone number: 574-247-9441
Mailing Address
BENJAMIN HABERLY
3600 W BETHEL AVE
MUNCIE, IN 47304-5407
Phone number: