Individual
ANDREW A DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7652 RED ARROW HWY, WATERVLIET, MI 49098-9396
(269) 463-5700
(269) 463-3645
Mailing address
7652 RED ARROW HWY, PO BOX 245, WATERVLIET, MI 49098-9396
(269) 463-5700
(269) 463-3645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007097
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950A15056
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
05/08/2006
Last updated
04/13/2012
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