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Contact Information

MICHAEL C MAXWELL, MD
915 HIGHLAND BLVD
BOZEMAN, MT59715-6902
 Phone: 406-414-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL C MAXWELL · (Male)

NPI # 1114926300
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 04/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 31814
  • MT License # 12361
  • AZ Medicaid 819055
Hospital affiliation(s)
  • BANNER BAYWOOD MEDICAL CENTER - (Acute Care)
    6644 EAST BAYWOOD AVENUE
    MESA, AZ 85206
  • BANNER BAYWOOD MEDICAL CENTER - (Acute Care)
    6644 EAST BAYWOOD AVENUE
    MESA, AZ 85206
  • BANNER DESERT MEDICAL CENTER - (Acute Care)
    1400 SOUTH DOBSON ROAD
    MESA, AZ 85202
  • BANNER DESERT MEDICAL CENTER - (Acute Care)
    1400 SOUTH DOBSON ROAD
    MESA, AZ 85202
  • BANNER HEART HOSPITAL - (Acute Care)
    6750 EAST BAYWOOD AVENUE
    MESA, AZ 85206
  • BANNER HEART HOSPITAL - (Acute Care)
    6750 EAST BAYWOOD AVENUE
    MESA, AZ 85206
  • BANNER IRONWOOD MEDICAL CENTER - (Acute Care)
    37000 NORTH GANTZEL ROAD
    SAN TAN VALLEY, AZ 85140
  • BANNER IRONWOOD MEDICAL CENTER - (Acute Care)
    37000 NORTH GANTZEL ROAD
    SAN TAN VALLEY, AZ 85140
  • BOZEMAN DEACONESS HOSPITAL - (Acute Care)
    915 HIGHLAND BLVD
    BOZEMAN, MT 59715
  • BOZEMAN DEACONESS HOSPITAL - (Acute Care)
    915 HIGHLAND BLVD
    BOZEMAN, MT 59715
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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