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Individual

DR. MAURICE NEIL CROSSLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
207 S MAIN ST, FAIRFIELD, IA 52556-3304
(641) 472-4454
Mailing address
207 S MAIN ST, FAIRFIELD, IA 52556-3304
(641) 472-4454

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04595
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0149294
IA
Enumeration date
08/19/2005
Last updated
05/28/2019
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