Individual
MICHAEL K MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 S WHEELING AVE, 402, TULSA, OK 74104
(918) 748-7877
(918) 403-6305
Mailing address
1919 S WHEELING AVE, 402, TULSA, OK 74104-5638
(918) 748-7877
(918) 403-6305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15222
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110740A
—
OK
Enumeration date
03/14/2006
Last updated
06/11/2018
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