Individual
DR. MAXIMILIAN PSOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4878 S HIGHLAND DR, HOLLADAY, UT 84117-6007
(801) 272-8861
Mailing address
4878 S HIGHLAND DR, HOLLADAY, UT 84117-6007
(801) 272-8861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01047658A
IN
207W00000X
Ophthalmology Physician
1143296-1205
UT
207W00000X
Ophthalmology Physician
D70499
MD
207W00000X
Ophthalmology Physician
Primary
MD61291718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036676500
—
MD
Enumeration date
08/30/2006
Last updated
05/04/2022
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