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Individual

BRIAN MIKULAN MAXFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
Mailing address
1928 45TH ST, MUNSTER, IN 46321-3917
(219) 476-7246

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036141740
IL
207L00000X
Anesthesiology Physician
25MB10550200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
02006029A
IN

Other

Enumeration date
04/02/2014
Last updated
12/17/2024
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