Most Relevant Information
Provider Data
| NPI Number: | 1003592148 |
| Provider Name: | MAXWELL VERBRUGGE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2023 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
1632 STONE ST
SAGINAW
MI
48602
Practice Location Phone/Fax
| Phone: | 9897467504 |
| Fax: |
Provider Mailing Location
3285 SCHUST RD APT 208
SAGINAW
MI
486038101
Provider Mailing Phone/Fax
| Phone: | 6165583061 |
| Fax: |