Individual
CHARLES W HAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
9480 ROSEMONT DR STE 100, STREETSBORO, OH 44241-4569
(330) 626-5566
(330) 626-2402
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(330) 626-5566
(330) 626-2402
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-00-1714
OH
Other
Enumeration date
08/12/2006
Last updated
01/15/2021
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