MICHAEL E HAVENS

FREMONT, MI
NPI1679824361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007732)
Enumeration Date2012-09-21
Last Update Date2016-06-03
Business Address
Mr. MICHAEL E HAVENS RD, LD, CNSC
212 S SULLIVAN AVE
FREMONT, MI 49412-1548
Phone number: 616-391-3139
Mailing Address
Mr. MICHAEL E HAVENS RD, LD, CNSC
100 MICHIGAN ST NE MAIL CODE 845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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