Provider Demographics
NPI:1164765814
Name:MAXWELL, ANNE KRISTIN (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:KRISTIN
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11234 ANDERSON ST ROOM 2586A
Mailing Address - Street 2:LLU DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350
Mailing Address - Country:US
Mailing Address - Phone:909-558-7884
Mailing Address - Fax:909-558-4819
Practice Address - Street 1:11370 ANDERSON ST STE 2100
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3450
Practice Address - Country:US
Practice Address - Phone:909-558-7884
Practice Address - Fax:909-558-4819
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2025-01-28
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Provider Licenses
StateLicense IDTaxonomies
NE35309207YX0901X
CAA155430207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology