Individual
STEPHANIE MAXSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22911 JEFFERSON BLVD, SMITHSBURG, MD 21783-1617
(301) 824-3343
Mailing address
22911 JEFFERSON BLVD, SMITHSBURG, MD 21783-1617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10268
GA
363A00000X
Physician Assistant
Primary
C0008083
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2020
Last updated
10/17/2024
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