Individual
MICHAEL J HALVONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10496 MONTGOMERY ROAD, SUITE 103, CINCINNATI, OH 45242-5220
(513) 793-2654
(513) 793-2962
Mailing address
10496 MONTGOMERY ROAD, SUITE 103, CINCINNATI, OH 45242-5220
(513) 793-2654
(513) 793-2962
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OH35048417
OH
207RP1001X
Pulmonary Disease Physician
Primary
35048417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244057
ANTHEM
—
01
—
0004091204
AETNA
—
01
—
0402518
UNITED HEALTHCARE
—
05
—
0664759
—
OH
01
—
48417
HUMANA
—
01
—
P00164532
RAILROAD MEDICARE
—
Enumeration date
10/16/2006
Last updated
11/26/2014
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