Individual
MAXWELL WEITZEL BEHREND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2481 EXECUTIVE DR, EAST TROY, WI 53120-2579
(262) 642-5695
Mailing address
441 E ERIE ST UNIT 325, MILWAUKEE, WI 53202-6103
(219) 299-3089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001479-15
WI
Other
Enumeration date
04/01/2024
Last updated
05/23/2024
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