Individual
NICHOLAS P MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30316
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006060
PHYSICIANS PLUS
—
01
—
10884
DEAN HEALTH PLAN
—
01
—
20022801
MEDICARE RAILROAD
—
01
—
31508500
HIRSP
—
05
—
31508500
—
WI
01
—
390808509
CIGNA
—
01
—
39080850968
UNITY
—
01
—
690004890
MEDICARE RAILROAD
—
01
—
90002361
WEA INS
—
Enumeration date
11/20/2006
Last updated
12/29/2020
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