Individual
LUKE SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5525 MARIE AVE, CINCINNATI, OH 45248-3200
(513) 981-5463
(513) 598-2242
Mailing address
5525 MARIE AVE, CINCINNATI, OH 45248-3200
(513) 981-5463
(513) 598-2242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.140440
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
11/24/2020
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