Individual
DR. MAXWELL OWEN NELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 GATEWAY AVE, MAUSTON, WI 53948-1402
(608) 847-7814
Mailing address
808 SUPERIOR AVE APT 311, TOMAH, WI 54660-4701
(941) 883-1142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22057-40
WI
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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