Search › Alabama › 152W00000X
Ian Maisonville
NPI 1497360002 · on the registry since 2020
Practice
- Address
- 3017 Indian Crest Dr
Pelham, AL 35124 - Phone
- (205) 529-0557
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama