Individual
DR. MICHAEL JOSEPH MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(177) 247-3006
Mailing address
1 NASHUA ST APT 3416, BOSTON, MA 02114-1644
(989) 859-9346
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1013033
MA
207X00000X
Orthopaedic Surgery Physician
4301114531
MI
Other
Enumeration date
05/10/2018
Last updated
06/01/2023
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