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Maxwell Ackerman

Specialist in Moorhead, MN. Individual provider (NPI-1).

NPI number1497640221
StatusActive
Last updated in NPPESJun 11, 2025

Details

NPI
1497640221
Entity type
Individual (NPI-1)
Name
Maxwell Ackerman
Sex
Male
Sole proprietor
No
Enumeration date
Jun 11, 2025
Certification date
Jun 11, 2025
Last updated
Jun 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

1505 30th Ave S
Moorhead, MN 56560-5149

Phone 218-287-4338

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

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