Individual
DAVID CHARLES HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 HEATHERLEA CT, CANTON, MI 48188-6238
(734) 999-3090
(518) 240-4431
Mailing address
1150 HEATHERLEA CT, CANTON, MI 48188-6238
(734) 999-3090
(518) 240-4431
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
4301113878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413175400
—
MD
Enumeration date
08/14/2006
Last updated
04/06/2021
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