Individual
MR. MAX E GRUPP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
376 ELMWOOD AVE, FEASTERVILLE, PA 19053
(215) 357-8948
Mailing address
376 ELMWOOD AVE, FEASTERVILLE, PA 19053
(215) 355-1148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001157L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0633390
—
PA
Enumeration date
03/01/2006
Last updated
07/08/2007
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