Individual
MAX BRIDGEWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER, DES MOINES, IA 50314-1505
(515) 282-2319
(515) 282-3234
Mailing address
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER, DES MOINES, IA 50314-1505
(515) 282-2319
(515) 282-3234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01712
IA
Other
Enumeration date
09/26/2005
Last updated
06/20/2012
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