Organization
THOMAS J HAVERBUSH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE J COLE (PRACTICE MANAGER)
(989) 463-6092
Entity
Organization
Contact information
Practice address
315 E WARWICK DR, SUITE A, ALMA, MI 48801-1083
(989) 463-6092
(989) 463-8914
Mailing address
315 E WARWICK DR, SUITE A, ALMA, MI 48801-1083
(989) 463-6092
(989) 463-8914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301027074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101394750
—
MI
Enumeration date
10/25/2006
Last updated
05/24/2011
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