Individual
MAX STIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7968 ESSEN PARK AVE, BATON ROUGE, LA 70809-7439
(225) 761-3400
Mailing address
1855 BRIGHTSIDE DR APT V12, BATON ROUGE, LA 70820-8863
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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