MAXWELL COSTA TAGUE

LOUISVILLE, KY
NPI1932859873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  61274)
Enumeration Date2022-03-24
Last Update Date2026-06-29
Business Address
MAXWELL COSTA TAGUE MD
210 E GRAY ST STE 700
LOUISVILLE, KY 40202-3903
Phone number: 502-629-5400
Mailing Address
MAXWELL COSTA TAGUE MD
PO BOX 776351
CHICAGO, IL 60677-6879
Phone number: 502-975-2205
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