Individual
DR. ALAN EMERY MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2934 NILES AVE, SAINT JOSEPH, MI 49085-2418
(269) 983-2292
(269) 983-6155
Mailing address
2934 NILES AVE, SAINT JOSEPH, MI 49085-2418
(269) 983-2292
(269) 983-6155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006933
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382877133
TAX ID
MI
01
—
OA150910
BCBSMI
MI
Enumeration date
12/05/2006
Last updated
07/09/2007
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