Dr Jordan Maxwell, DO | |
1771 W Big Beaver Rd, Troy, MI 48084-3510 | |
(248) 617-2454 | |
Not Available |
Full Name | Dr Jordan Maxwell |
---|---|
Gender | Female |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 1771 W Big Beaver Rd, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356790851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101022569 (Michigan) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 5101025758 (Michigan) | Primary |
Entity Name | Ameriwound Physicians Il Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan Maxwell, DO 2613 Demmings Ct, West Lafayette, IN 47906-6633 Ph: (317) 361-3646 | Dr Jordan Maxwell, DO 1771 W Big Beaver Rd, Troy, MI 48084-3510 Ph: (248) 617-2454 |
Dr. Danielle Deluca-pytell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3290 W Big Beaver Rd Ste 412, Troy, MI 48084 Phone: 248-885-8858 | |
Ashraf Elzanie, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1080 Kirts Blvd Ste 700, Troy, MI 48084 Phone: 248-362-2300 Fax: 248-362-5272 | |
Dr. Mark S Friedland Md Pc, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd, Ste 623, Troy, MI 48085 Phone: 248-828-5707 Fax: 248-828-5702 | |
Jonathan William Lezotte, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd Ste 315, Troy, MI 48085 Phone: 248-964-1170 Fax: 248-964-1188 | |
Dr. Mark L Shapiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 284-964-1187 | |
Dr. Corinne Dianne Costellic, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd Ste 612, Troy, MI 48085 Phone: 248-964-5170 Fax: 248-964-5175 | |
Inad Naim Janineh, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5600 Rochester Rd, Troy, MI 48085 Phone: 586-263-2300 Fax: 586-263-2614 |