Individual
DR. JON MICHAEL MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 RIVERSIDE AVE, ADRIAN, MI 49221-1582
(517) 263-0575
(517) 265-5188
Mailing address
227 RIVERSIDE AVE, ADRIAN, MI 49221-1582
(517) 263-0575
(517) 265-5188
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
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