Individual
MAXWELL JAMES JENTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5219
(440) 835-8000
Mailing address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.016236
OH
207P00000X
Emergency Medicine Physician
Primary
81374-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2020
Last updated
06/15/2024
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