Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3576 | OR |
NPI | 1700820271 |
---|---|
Provider Name | Dr. Joseph George Maier |
First Address | Mcminnville, OR 97128-4320 |
Second Address | Mcminnville, OR 97128-4320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 08/09/2008 |