Individual
DR. MAXWELL JOSEPH NANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1155 N HONEY CREEK PKWY, WAUWATOSA, WI 53213-3189
(414) 615-5900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
61826-21
WI
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
61826-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100035334
—
WI
Enumeration date
03/29/2012
Last updated
09/10/2025
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