Ian Maisonville

NPI #1497360002 in Pelham, Alabama

Provider Information

NPI Number: 1497360002
Entity Type: Individual
Name: Ian Maisonville
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Sep 10, 2020
Last Updated: Oct 2, 2020

Practice Location

Address: 3017 INDIAN CREST DR
City: Pelham
State: Alabama
ZIP Code: 35124-4701
Phone: (205) 529-0557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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