Individual
RICHARD A MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 CLEVELAND RD, WOOSTER, OH 44691-2204
(330) 287-4500
(330) 263-6607
Mailing address
1740 CLEVELAND RD, WOOSTER, OH 44691-2204
(330) 287-4500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35034988
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280468
—
OH
Enumeration date
04/25/2006
Last updated
04/01/2008
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