| Stephan M Mavissakalian, DC | |
|
708 E Wilbeth Rd, Akron, OH 44306-3445 | |
| (330) 773-7400 | |
| Not Available |
| Full Name | Stephan M Mavissakalian |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 708 E Wilbeth Rd, Akron, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588854228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3666 (Ohio) | Primary |
| Provider Name | Advanced Orthopedics And Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801185962 PECOS PAC ID: 6204096050 Enrollment ID: O20120402000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephan M Mavissakalian, DC 708 E Wilbeth Rd, Apt 4, Akron, OH 44306-3445 Ph: (330) 773-7400 | Stephan M Mavissakalian, DC 708 E Wilbeth Rd, Akron, OH 44306-3445 Ph: (330) 773-7400 |
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