Individual
MR. MICHAEL LOUIS HAVENAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
11133 DUNN RD, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63136-6163
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2003001555
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429217300
—
MO
Enumeration date
02/26/2009
Last updated
04/17/2025
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