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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL E HAVENS, RD, LD, CNSC

Active

MR. MICHAEL E HAVENS, RD, LD, CNSC is a Physician Assistant healthcare provider located in FREMONT, Michigan. NPI 1679824361 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FREMONT, MI

Registration Details

NPI Number
1679824361
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2012 (13.87637859533 yrs)
Last Updated
Jun 3, 2016
License
5601007732 (MI)

Practice Information

Address
212 S SULLIVAN AVE
FREMONT, MI, 494121548
Browse MI providers · Browse ZIP 49412
Phone
6163913139
Fax
6163913044
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FREMONT, MI

Name Credential NPI
SARAH E DEGEN PA-C 1316055619
KRISTIN LYNN LE BEL PA 1295805851
MR. TERRANCE L BORGES PA 1144415100
MR. ADAM EVAN STRANTZ PA-C 1316220437
SHANA MARIE STRANTZ PA 1427333467
DANIEL LEE PIERCE PA-C 1073941704
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.