Individual
MR. MAX KOIVISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NRAEMT
Contact information
Practice address
629 JACOBS LADDER ROAD, BECKET, MA 01223
(413) 623-5027
(413) 623-2062
Mailing address
557 MAIN ST, BECKET, MA 01223-3252
(413) 623-5027
(413) 623-2062
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
A0900516
MA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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