Individual
DR. MAXWELL S COSMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 LAUREL ST STE A120, DES MOINES, IA 50314-3027
(515) 643-7900
(515) 643-7901
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-7900
(515) 643-7901
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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