Search › Indiana › 111N00000X
Maxim Ivanov, D.C
NPI 1669560280 · on the registry since 2006 · sole proprietor
Practice
- Address
- 401 E Madison St
Goshen, IN 46526 - Phone
- (574) 533-7363
- Organisation at this address
- Chiropractic Wellness Center Of Goshen, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Indiana