Provider Demographics
NPI:1447281266
Name:ASNIS, MAXINE SCHWARTZ (MD)
Entity type:Individual
Prefix:DR
First Name:MAXINE
Middle Name:SCHWARTZ
Last Name:ASNIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MAXINE
Other - Middle Name:ANNE
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:40602 COUNTY ROAD 1
Mailing Address - Street 2:
Mailing Address - City:RICE
Mailing Address - State:MN
Mailing Address - Zip Code:56367-9594
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:811 2ND ST SE STE A
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3505
Practice Address - Country:US
Practice Address - Phone:320-632-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42803208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA028OtherTRICARE
NA9231025717OtherPREFERRED ONE
1155282OtherAMERICA'S PPO
1202469OtherMEDICA
HP31772OtherHEALTH PARTNERS
MN083L6ASOtherBCBS OF MN
HP31772OtherHEALTH PARTNERS