Individual
DR. JOSHUA SHANE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
56992
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
56992
MN
Other
Enumeration date
02/09/2009
Last updated
05/03/2018
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