Individual
DR. MAXWELL S COSMIC
Active
Individual
DR. MAXWELL S COSMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34992
IN
207RP1001X
Pulmonary Disease Physician
34992
IN
207RP1001X
Pulmonary Disease Physician
Primary
MD-34992
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286559
—
IA
01
—
165260
COVENTRY
IA
01
—
1907221
UNITED HEALTHCARE
IA
01
—
239198
MIDLAND'S CHOICE
IA
01
—
34116
WELLMARK
IA
01
—
IA0139
UHC OF THE RIVER VALLEY
IA
Enumeration date
12/19/2005
Last updated
11/11/2020
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