Individual provider · Type 1 NPI

William T. Havens, PA

Medical Physician Assistant · Bloomington, IN

NPI number 1831182898 Active

Practice location

1200 S Rogers St
Bloomington, IN 47403-4792

Other practice locations

  • 1625 O St, Bedford, IN 47421-4116 · (812) 339-6434

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10000917A (IN)
Physician Assistant 363A00000X009943 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1831182898

William T. Havens, PA's National Provider Identifier is 1831182898, issued on Aug 25, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bloomington, IN. The record was last updated on Nov 13, 2024.