Individual
BLAINE MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
413 W MCKINLEY AVE, MISHAWAKA, IN 46545-5599
(574) 256-1008
(574) 256-9088
Mailing address
413 W MCKINLEY AVE, MISHAWAKA, IN 46545-5599
(574) 256-1008
(574) 256-9088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002860A
IN
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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