Individual
MAXWELL JACKSON USCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MUNSON FAMILY PRACTICE CENTER, 1400 MEDICAL CAMPUS DRIVE, TRAVERSE CITY, MI 49684
(231) 935-8012
(231) 935-8098
Mailing address
MUNSON FAMILY PRACTICE CENTER, 1400 MEDICAL CAMPUS DRIVE, TRAVERSE CITY, MI 49684
(231) 935-8012
(231) 935-8098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351047596
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2021
Last updated
06/03/2021
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