Individual
MARC KARL MAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2550 NILES RD, ST JOSEPH, MI 49085
(269) 429-5727
(269) 429-5766
Mailing address
2550 NILES RD, MAVIS CHIROPRACTIC CENTER, ST JOSEPH, MI 49085
(269) 429-5727
(269) 429-5766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301004976
MI LICENSE
MI
01
—
950A150130
BCBS MI
MI
Enumeration date
11/01/2006
Last updated
11/17/2011
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