Bradley Havelka, ED.S.

NPI #1720488497 in Mentor, Ohio

Provider Information

NPI Number: 1720488497
Entity Type: Individual
Name: Bradley Havelka, ED.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ED.S.
Enumeration Date: Aug 29, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 6477 CENTER ST
City: Mentor
State: Ohio
ZIP Code: 44060-4109
Phone: (440) 974-5332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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