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Individual

DR. CRAIG ALAN MAXWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4421 HAMILTON-CLEVES ROAD, SUITE 5, HAMILTON, OH 45013-8952
(513) 741-4404
(513) 741-7994
Mailing address
4421 HAMILTON-CLEVES ROAD, SUITE 5, HAMILTON, OH 45013-8952
(513) 741-4404
(513) 741-7994

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003560M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03560
HUMANA
OH
05
0543273
OH
01
14200
ANTHEM
OH
01
P00471069
RR MEDICARE
OH
Enumeration date
11/08/2006
Last updated
06/24/2015
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