Individual
DR. DALE HAVEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
(360) 380-3381
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
(360) 380-3381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00016347
WA
208D00000X
General Practice Physician
MD00016347
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199506
L & I NUMBER
WA
05
—
8521205
—
WA
Enumeration date
01/04/2007
Last updated
05/19/2014
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