Doctor Name: | DR. JON MIKAL HOVERSLAND |
NPI Number: | 1699822320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 47981 |
Business Practice Address: | 3920 St Francis Way Suite 110 Lafayette, IN - 479054917 |
Business Phone Number: | 7654285800 |
Business Fax Number: | 7654285802 |
Mailing Address: | 3920 St Francis Way, Suite 110 LAFAYETTE |
State: | IN |
Postal Code: | 479054917 |
Phone Number: | 7654285800 |
Fax Number: | 7654285802 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 47981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |