Individual
AUSTIN MICHAEL HAVERTAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 ASHTON PL NE STE B, CEDAR RAPIDS, IA 52402-8339
(319) 364-6387
(319) 364-4646
Mailing address
410 ASHTON PL NE STE B, CEDAR RAPIDS, IA 52402-8339
(319) 364-6387
(319) 364-4646
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
123307
IA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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