Most Relevant Information
Provider Data
| NPI Number: | 1003009044 |
| Provider Name: | PATRICK MICHAEL OHAVER ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 36001384A |
Most Important Dates
| Enumeration Date: | 08/23/2007 |
| Last Updated: | 05/18/2015 |
Provider Practice Location
1950 45TH AVE
SUITE 200
MUNSTER
IN
463213917
Practice Location Phone/Fax
| Phone: | 2199228188 |
| Fax: |
Provider Mailing Location
801 MACARTHUR BLVD
SUITE 405
MUNSTER
IN
463212915
Provider Mailing Phone/Fax
| Phone: | 2198364163 |
| Fax: |