Individual
DR. JACOB MAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2550 NILES RD, SAINT JOSEPH, MI 49085-3270
(269) 429-5727
Mailing address
1780 MEADOW GROVE PL, SAINT JOSEPH, MI 49085-9486
(269) 921-1885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401627
MI
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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