Individual
DR. DENNIS W. HAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-0811
Mailing address
3428 HUNTERS XING, STOW, OH 44224-4746
(330) 677-9385
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35-059923
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000027272
ANTHEM PROVIDER NUMBER
OH
05
—
0957317
—
OH
Enumeration date
08/10/2006
Last updated
04/02/2009
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