Individual
MARIUS MAXWELL
Active
Individual
MARIUS MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
5262
SD
207T00000X
Neurological Surgery Physician
Primary
7202
AK
207T00000X
Neurological Surgery Physician
MD2011-0824
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119113600
—
WY
01
—
24245
ND BCBS PIN
ND
01
—
312588
WYOMING BCBS PIN
WY
05
—
3505619
—
MT
01
—
4995818
WELLMARK BCBS PIN
SD
05
—
6100890
—
SD
Enumeration date
03/21/2006
Last updated
06/02/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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