Individual
MR. DAVID ALAN MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCHIS
Contact information
Practice address
18010 SILVER PKWY, FENTON, MI 48430-3421
(810) 750-2626
Mailing address
18010 SILVER PKWY, FENTON, MI 48430-3421
(810) 750-2626
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501000547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4987510
—
MI
01
—
540B50418
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
540B504180
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/13/2008
Last updated
08/13/2008
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