Individual
DR. JAMES MICHAEL MAIXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 10TH AVE. S.W., WAVERLY, IA 50677-0854
(319) 352-5222
(319) 352-5225
Mailing address
1400 10TH AVE. S.W., P.O. BOX 854, WAVERLY, IA 50677-0854
(319) 352-5222
(319) 352-5225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06793
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041434
—
IA
Enumeration date
06/10/2006
Last updated
07/13/2009
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