Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael E Havens, RD, LD, CNSC

Individual provider Physician Assistant · NPI 1679824361

Mr. Michael E Havens, RD, LD, CNSC is a Physician Assistant in Fremont, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

212 S Sullivan Ave
Fremont, MI 49412-1548
Phone: (616) 391-3139
Fax: (616) 391-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007732 (MI)

Record details

NPI number1679824361
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , LD , CNSC
Sole proprietorNo
NPI enumeratedSeptember 21, 2012
Last updated in NPPESJune 3, 2016
Mailing address100 Michigan St Ne, Mail Code 845, Grand Rapids, MI 49503-2560

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