Individual
BRADLEY HAVELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
6477 CENTER ST, MENTOR, OH 44060-4109
(440) 974-5332
Mailing address
6477 CENTER ST, MENTOR, OH 44060-4109
(440) 974-5332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH3175620
OH
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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