Individual
KEN HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34612 6TH AVE S, SUITE 210, FEDERAL WAY, WA 98003-8723
(253) 927-1882
(253) 927-1439
Mailing address
34612 6TH AVE S, SUITE 110, FEDERAL WAY, WA 98003-8723
(253) 927-1882
(253) 927-1439
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A119113
CA
Other
Enumeration date
06/30/2008
Last updated
09/25/2013
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