Individual
NICHOLAS HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8727
(573) 884-5790
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2010009945
MO
207R00000X
Internal Medicine Physician
2010009945
MO
207RI0200X
Infectious Disease Physician
Primary
2010009945
MO
Other
Enumeration date
09/01/2006
Last updated
08/23/2022
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