Individual
PAUL D HAVENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15294 101ST TRL N, JUPITER, FL 33478-6846
(313) 363-1269
Mailing address
15294 101ST TRL N, JUPITER, FL 33478-6846
(313) 363-1269
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
135335
FL
207L00000X
Anesthesiology Physician
4301058243
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4088643-10
—
MI
Enumeration date
07/18/2006
Last updated
06/15/2023
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