Individual
MR. PATRICK MICHAEL OHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1950 45TH AVE, SUITE 200, MUNSTER, IN 46321-3917
(219) 922-8188
Mailing address
801 MACARTHUR BLVD, SUITE 405, MUNSTER, IN 46321-2915
(219) 836-4163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001384A
IN
Other
Enumeration date
08/23/2007
Last updated
05/18/2015
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