Individual
DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(443) 538-0703
Mailing address
1020 APOLLO DR BLDG 225, JBSA LACKLAND, TX 78236-5702
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
31031
NE
Other
Enumeration date
03/21/2017
Last updated
09/09/2023
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