Jake Halvorsen, D.O

NPI 1497015002 · on the registry since 2012 · sole proprietor

Practice

Address: 11885 E 12 Mile Rd
Ste. 300a
Warren, MI 48093
Phone: (586) 582-6630
Fax: (586) 582-6631
Organisation at this address: Virgin Girl Hair
Footspecialist Pc
Oakland Medical Group Pc
Sudhir Lingnurkar Md Plc
With Love Homecare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 92

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan