Individual
DR. DEBORAH HABENICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
42 NORTH ST.JOSEPH AVE, SUITE 300, NILES, MI 49120-2296
(269) 687-2910
(269) 687-8770
Mailing address
6416 DEANS HILL ROAD, BERRIEN SPRINGS, MI 49120-9750
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301074195
MI
207Y00000X
Otolaryngology Physician
Primary
4301074195
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401111441
BCBS
MI
05
—
451503610
—
MI
Enumeration date
02/06/2006
Last updated
03/07/2023
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