Individual
MAXWELL FREDERICK LYDIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 N 12TH ST, MILWAUKEE, WI 53205-2591
(414) 966-3030
(414) 649-1309
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
85467
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100332249
—
WI
Enumeration date
06/14/2021
Last updated
10/14/2025
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