Individual
MAXWELL BENJAMIN COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
444 N CLEVELAND AVE STE 130, WESTERVILLE, OH 43082-8388
(614) 839-1118
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
09/27/2021
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