Dr Jon Michael Maxwell, MD | |
227 Riverside Ave, Adrian, MI 49221-1582 | |
(517) 263-0575 | |
(517) 265-5188 |
Full Name | Dr Jon Michael Maxwell |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 227 Riverside Ave, Adrian, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487604542 | NPI | - | NPPES |
1959306 | Medicaid | MI | |
2004600521 | Other | MI | MI BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | JM051623 (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | 35070366 (Ohio) | Primary |
Entity Name | Aspirus Keweenaw |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
Mailing Address | Practice Location Address |
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Dr Jon Michael Maxwell, MD 227 Riverside Ave, Adrian, MI 49221-1582 Ph: (517) 263-0575 | Dr Jon Michael Maxwell, MD 227 Riverside Ave, Adrian, MI 49221-1582 Ph: (517) 263-0575 |
Dr. Riccardo Giovannone, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 693 Stockford Dr, Adrian, MI 49221 Phone: 517-264-0756 Fax: 517-263-9796 | |
Dr. Michael T Diment, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 770 Riverside Ave, Suite 105, Adrian, MI 49221 Phone: 517-265-5230 Fax: 517-265-1535 |