Individual
MR. BRIAN HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503
(616) 391-1730
Mailing address
4100 EMBASSY DR SE, STE 200, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301106070
MI
207P00000X
Emergency Medicine Physician
Primary
4301106070
MI
Other
Enumeration date
04/02/2014
Last updated
06/11/2018
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