Organization
HAVENS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN REEVES HAVENS MD (PARTNER PHYSICIAN)
(812) 283-4441
Entity
Organization
Contact information
Practice address
207 SPARKS AVENUE, SUITE 200, JEFFERSONVILLE, IN 47130-3739
(812) 283-4441
(812) 288-2605
Mailing address
207 SPARKS AVENUE, SUITE 200, JEFFERSONVILLE, IN 47130-3739
(812) 283-4441
(812) 288-2605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074620A
—
IN
Enumeration date
10/03/2006
Last updated
12/15/2011
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