Maxwell McCabe Irons
Physician Assistant in La Farge, WI. Individual provider (NPI-1).
NPI number1982302857
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1982302857
- Entity type
- Individual (NPI-1)
- Name
- Maxwell McCabe Irons
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2023
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 746023 | WI | Yes |
Practice location
206 N Mill St.La Farge, WI 54639
Phone 608-625-2494
Mailing address
507 S Main StViroqua, WI 54665-2059
Phone 608-637-4769
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