Individual
ALWIN MAX JUCHHEIM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1300 SUNSET DR, SUITE P, GRENADA, MS 38901-4086
(662) 226-3333
(662) 226-7722
Mailing address
1300 SUNSET DR, SUITE P, GRENADA, MS 38901-4086
(662) 226-3333
(662) 226-7722
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80068
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011116
—
MS
Enumeration date
08/17/2005
Last updated
03/20/2008
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