Individual
DR. DAVID T MAYSCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 SHENNUM DR, WASILLA, AK 99654-7721
(907) 354-0503
(907) 376-7874
Mailing address
5300 SHENNUM DR, WASILLA, AK 99654-7721
(907) 354-0503
(907) 376-7874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2132
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD99201
—
AK
Enumeration date
09/27/2006
Last updated
07/09/2007
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