Individual
DR. ALAN L MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
333 N JEBAVY DR, LUDINGTON, MI 49431-1923
(231) 843-2690
(231) 843-4338
Mailing address
333 N JEBAVY DR, LUDINGTON, MI 49431-1923
(231) 843-2690
(231) 843-4338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0717580002
DME PROVIDER NUMBER
MI
05
—
2584722
—
MI
Enumeration date
08/28/2006
Last updated
11/01/2007
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