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Individual
DR. MAXWELL JAMES DOHERTY
Active
Individual
DR. MAXWELL JAMES DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82508
MN
207P00000X
Emergency Medicine Physician
87484
WI
207P00000X
Emergency Medicine Physician
R80416
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R80416
AZ
Other
Enumeration date
05/25/2023
Last updated
09/03/2026
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