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Contact Information

J M MAXWELL, MD
350 HERITAGE WAY STE 2100
KALISPELL, MT59901-3167
 Phone: 406-257-8993
 Fax: 406-257-8996
 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 J M MAXWELL · (Male)

NPI Number 1932137213
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 02/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MT License # MED-PHYS-LIC-8175
  • MT Medicaid 0108602
Hospital affiliation(s)
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
  • ST PATRICK HOSPITAL - (Acute Care)
    500 W BROADWAY
    MISSOULA, MT 59806
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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