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Individual

ANDREW CURTIS HAVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
1330 W WASHINGTON ST, GREENVILLE, MI 48838-2190
(616) 754-7040
Mailing address
1330 W WASHINGTON ST, GREENVILLE, MI 48838-2190
(616) 754-7040

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015439
MI
2255A2300X
Athletic Trainer
2601000393
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30435
BCBS OF MICHIGAN
MI
Enumeration date
12/09/2010
Last updated
12/09/2010
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