Individual provider · Type 1 NPI

David Lyle Haverstick, JD, CNIM

Electroneurodiagnostic Specialist/Technologist · Mason, OH

NPI number 1417449729 Active

Practice location

8118 Corporate Way Ste 212
Mason, OH 45040-9560

Fax (513) 947-9943

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600X897

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1417449729

David Lyle Haverstick, JD, CNIM's National Provider Identifier is 1417449729, issued on Jun 1, 2018. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Mason, OH. The record was last updated on Jun 1, 2018.