Individual
DR. JON MICHAEL MAXWELL
Active
Individual
DR. JON MICHAEL MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35070366
OH
207X00000X
Orthopaedic Surgery Physician
JM051623
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1959306
—
MI
01
—
2004600521
MI BCBSM
MI
Enumeration date
05/11/2006
Last updated
09/12/2016
Update your record
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