Organization
MAXX MEDICAL INC
Active
Organization
MAXX MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA PETREQUIN (BILLING MANAGER)
(937) 438-9500
Entity
Organization
Contact information
Practice address
10554 SUCCESS LN STE A, DAYTON, OH 45458-3657
(937) 438-9500
(937) 886-5694
Mailing address
10554 SUCCESS LN STE A, DAYTON, OH 45458-3657
(937) 438-9500
(937) 886-5694
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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