Individual
MICHAEL DREWES HABERSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
8291 S 1390 E, SANDY, UT 84093-1217
(801) 910-6815
Mailing address
8291 S 1390 E, SANDY, UT 84093-1217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8191970-3102
UT
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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