Individual
MR. ALAN MICHAEL MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
213A PATRICK GYMNASIUM, 97 SPEAR ST., BURLINGTON, VT 05405-0001
(802) 656-7678
Mailing address
42 CRYSTAL RD, FAIRFAX, VT 05454-9572
(802) 656-7678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1040000092
VT
Other
Enumeration date
06/12/2006
Last updated
07/13/2026
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