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Contact Information

EDWIN A MAXWELL, DO
1227 E RUSHOLME ST
DAVENPORT, IA52803-2459
 Phone: 563-421-1000
 Fax: 563-421-7889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for EDWIN A MAXWELL · (Male)

NPI Number 1952387292
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/19/2005
Last updated 04/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 01682
  • IA Medicaid 2003467
Hospital affiliation(s)
  • GENESIS MEDICAL CENTER-DAVENPORT - (Acute Care)
    1227 EAST RUSHOLME STREET
    DAVENPORT, IA 52803
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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