JORDAN MAXWELL

LAFAYETTE, IN
NPI1356790851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: IN  02007042A)
Additional Taxonomies208600000X Surgery
(Licence: MI  5101022569)
2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: MI  5101025758)
Enumeration Date2016-06-07
Last Update Date2025-08-11
Business Address
DR. JORDAN MAXWELL DO
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4780
Mailing Address
DR. JORDAN MAXWELL DO
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800