MARILYN A. MAXWELL

SAINT LOUIS, MO
NPI1144233164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  R1D74)
Enumeration Date2006-08-14
Last Update Date2009-03-30
Business Address
-- MARILYN A. MAXWELL M.D.
3660 VISTA AVE
SAINT LOUIS, MO 63110-2540
Phone number: 314-977-6100
Mailing Address
-- MARILYN A. MAXWELL M.D.
3691 RUTGER ST PROVIDER ENROLLMENT
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-6828