Individual
DR. ROBERT JOSEPH MAXWELL, MD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 GLESSNER AVE FL 5, MANSFIELD, OH 44903-2269
(419) 522-2833
(419) 524-1619
Mailing address
725 CLIFTON BLVD, MANSFIELD, OH 44907-2284
(419) 774-0295
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-068577
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130382
ANTHEM
OH
05
—
0143937
—
OH
01
—
020028795
RAILROAD MEDICARE
OH
Enumeration date
12/29/2005
Last updated
01/25/2022
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