Provider Demographics
NPI:1770146961
Name:MCADOO, MAXWELL G
Entity type:Individual
Prefix:
First Name:MAXWELL
Middle Name:G
Last Name:MCADOO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 SEAMAN ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-1519
Mailing Address - Country:US
Mailing Address - Phone:419-693-1520
Mailing Address - Fax:419-693-3295
Practice Address - Street 1:U469 COUNTY ROAD 1D
Practice Address - Street 2:
Practice Address - City:LIBERTY CENTER
Practice Address - State:OH
Practice Address - Zip Code:43532-9598
Practice Address - Country:US
Practice Address - Phone:419-693-1520
Practice Address - Fax:419-693-3295
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator