| Haven Dove, CRNA | |
|
1100 Mercer Ave, Decatur, IN 46733-2303 | |
| (260) 724-2145 | |
| Not Available |
| Full Name | Haven Dove |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1100 Mercer Ave, Decatur, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710989710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28143888 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Dove, CRNA Po Box 151, 1100 Mercer Ave., Decatur, IN 46733-0151 Ph: (260) 724-2145 | Haven Dove, CRNA 1100 Mercer Ave, Decatur, IN 46733-2303 Ph: (260) 724-2145 |
Michael Kevin Kobs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 Mercer Ave, Decatur, IN 46733 Phone: 260-724-2145 | |
Dylan Reagan, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1100 Mercer Ave, Decatur, IN 46733 Phone: 260-724-2145 |