Maxim I Ivanov, D.C.

NPI #1669560280 in Goshen, Indiana

Provider Information

NPI Number
1669560280
Entity Type
Individual
Name
Maxim I Ivanov, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Oct 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
401 E MADISON ST
City
Goshen
State
Indiana
ZIP Code
46526-3431
Phone
(574) 533-7363

Specialties & Taxonomy Codes

Specialty
Chiropractor

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