Dr. Keegan Lawrence Maxwell, MD
Urology in Sartell, MN. Individual provider (NPI-1).
NPI number1790712883
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1790712883
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keegan Lawrence Maxwell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2006
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 12655 | SD | Yes |
| 208800000X | Urology | 51197 | MN |
Practice location
2351 Connecticut Ave SSuite 200
Sartell, MN 56377-2477
Phone 320-259-1411 · Fax 320-259-8967
Mailing address
401 9th Ave NwWatertown, SD 57201-1548
Phone 605-882-7777
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