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Maxwell Fohtung
NPI 1982088571 · on the registry since 2015
Practice
- Address
- 4949 W Pine Blvd
Saint Louis, MO 63108 - Phone
- (314) 389-1496
- Clinicians at this address
- 2
Additional practice sites
- 1 Barnes Jewish Hospital Plz, Saint Louis, MO
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 208D00000X
208600000X - Licence states on file
- MO, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-31
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 Missouri