Individual
DAVID FREDRICK HAVLICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210
(614) 293-8714
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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