Provider Demographics
NPI:1194951723
Name:MERKOW, MAXWELL B (MD)
Entity type:Individual
Prefix:
First Name:MAXWELL
Middle Name:B
Last Name:MERKOW
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:130 LA CASA VIA # 2-210
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3045
Mailing Address - Country:US
Mailing Address - Phone:925-309-5155
Mailing Address - Fax:925-623-5156
Practice Address - Street 1:130 LA CASA VIA # 2-210
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3045
Practice Address - Country:US
Practice Address - Phone:925-309-5155
Practice Address - Fax:925-623-5156
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA147272207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery