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Contact Information

DEAN M HAVLIK, MD
2351 G ROAD
COMMUNITY HOSPITAL
GRAND JUNCTION, CO81505
 Phone: 970-644-3283
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DEAN M HAVLIK · (Male)

NPI Number 1508857442
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2005
Last updated 02/03/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 39245
  • CO Medicaid 06629733
  • UT Medicaid T0328
  • Other 220030307 RAILROAD MEDICARE
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    2021 N 12TH ST
    GRAND JUNCTION, CO 81501
  • SOUTHWEST MEMORIAL HOSPITAL - (Critical Access)
    1311 N MILDRED RD
    CORTEZ, CO 81321
  • ST MARYS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2635 N 7TH STREET
    GRAND JUNCTION, CO 81502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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