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Individual

MR. ANDREW JOHN MAICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NREMT

Contact information

Practice address
BLDG 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FT RUCKER, AL 36362-5333
(334) 255-7636
(334) 255-7368
Mailing address
BLDG 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FT RUCKER, AL 36362-5333
(334) 255-7636
(334) 255-7368

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1616207
TX

Other

Enumeration date
05/14/2013
Last updated
05/14/2013
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