Provider Demographics
NPI:1982066239
Name:MAXI, MARGARET COLEMAN (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:COLEMAN
Last Name:MAXI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:188 ROCKWOOD LN STE A
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-1983
Practice Address - Country:US
Practice Address - Phone:920-725-4100
Practice Address - Fax:920-725-5528
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI72680-20207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology