Individual
MAXWELL JEDEDIAH VRUWINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
7316 PERSHING AVE APT 2E, UNIVERSITY CITY, MO 63130-4211
(616) 965-6099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2025054360
MO
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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