Individual
STEPHEN HAVERKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220
(513) 246-7800
(513) 246-7852
Mailing address
4600 WESLEY AVE, STE N, CINCINNATI, OH 45212-2298
(513) 246-7800
(513) 246-7590
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35051733
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0667621
—
OH
Enumeration date
06/06/2006
Last updated
10/10/2012
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