Maxwell, Andrea

Maxwell, Andrea is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Maxwell, Andrea can be contacted via phone (414) 266-3360.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Fax: (414) 266-3563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 74747 Wisconsin

Profile Details

NPI number 1770844672
LBN Legal business name Maxwell, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Jul 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770844672 NPPES
Wisconsin MEDICAID 1770844672

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