SearchMichigan103TC0700X

Casilda Maxwell, PHD

NPI 1700268182 · on the registry since 2015 · sole proprietor

Practice

Address
300 68th St Se
Campus Clinic
Grand Rapids, MI 49548
Phone
(616) 258-7429
Fax
(616) 493-6034
Organisation at this address
Janus Rx Llc
Emergency Physicians Inc
Emergency Physicians Inc Pc
Pine Rest Christian Mental Health Services
Pine Rest Christian Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
661

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan