Individual
DR. MAXWELL T MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2333
Mailing address
UNIVERSITY OF WASHINGTON PR, 1959 NE PACIFIC STREET BOX 356421, SEATTLE, WA 98195-6421
(206) 543-3000
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
60573072
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2010
Last updated
06/18/2015
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