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Individual

DR. MAXWELL R. SHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 JARRETT WHITE ROAD, TRIPLER ARMY MEDICAL CENTER, TAMC, HI 96859-5001
(808) 433-6341
Mailing address
1 JARRETT WHITE ROAD, TRIPLER ARMY MEDICAL CENTER, TAMC, HI 96859-5001

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
1538740352
HI
208D00000X
General Practice Physician
Primary
MD-24491-0
HI

Other

Enumeration date
04/15/2021
Last updated
06/13/2024
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