Individual
DR. NATHAN HAVERKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3001 WHITE BEAR AVE N STE 150, MAPLEWOOD, MN 55109-1215
(651) 770-3923
Mailing address
18715 WILLOW SPRINGS RD, DETROIT LAKES, MN 56501-7997
(218) 849-5952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3576
MN
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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