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Maxim I Ivanov, DC
Chiropractor in Goshen, Indiana
NPI 1669560280

Maxim I Ivanov is a Chiropractor based in Goshen, IN. Maxim I Ivanov practices in Goshen, IN and has the professional credentials of DC. The NPI Number for Maxim I Ivanov is 1669560280 and holds a License No. 08002243A (Indiana).

The current practice location address for Maxim I Ivanov is 401 E Madison St, Goshen, IN and can be reached out via phone at 574-533-7363. You can also correspond with Maxim I Ivanov through the mailing address at 401 E MADISON ST, GOSHEN, IN - 46526-3431 (mailing address contact number: 574-533-7363).

Location: 401 E Madison St, Goshen, IN, 46526-3431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669560280
Provider Name
Maxim I Ivanov
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
401 E Madison St, Goshen, IN, 46526-3431
Phone Number
574-533-7363
Fax Number
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
401 E Madison St
City
Goshen
State
Indiana
Zip
46526-3431
Phone Number
574-533-7363
Fax Number
person
Provider Business Mailing Address Details
Address
401 E Madison St
City
Goshen
State
Indiana
Zip
46526-3431
Phone Number
574-533-7363
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08002243A (Indiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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