Individual
SHARI L. MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 SCHAEFER RD STE 310, DEARBORN, MI 48126-3655
(947) 523-4680
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
053128
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284770710
—
MI
01
—
700H262210
BLUE CROSS-BLUE CROSS
—
01
—
SM053128
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/29/2006
Last updated
04/19/2023
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