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Individual
JAKE MAXFIELD
Active
Individual
JAKE MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
FM2764226
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
07/16/2026
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