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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MAXWELL TANYI FOHTUNG

Active

DR. MAXWELL TANYI FOHTUNG is a General Practice healthcare provider located in SAINT LOUIS, Missouri. NPI 1982088571 is currently active in the NPPES registry. Verify at CMS.

General Practice · SAINT LOUIS, MO

Registration Details

NPI Number
1982088571
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2015 (11.105294121988 yrs)
Last Updated
Jun 11, 2018
Licenses
2018011353 (MO)
2018011353 (MO)

Practice Information

Address
4949 W PINE BLVD
SAINT LOUIS, MO, 63108
Browse MO providers · Browse ZIP 63108
Phone
3143891496
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in SAINT LOUIS, MO

Name Credential NPI
SUBRAHMANYAM VADLAMANI M.D. 1558355214
DR. SCOTT MICHAEL STARENCHAK MD 1356338107
REX E HUDSON MD 1235113325
TIMOTHY MANUEL M.D. 1689652158
DR. NICKOLE HOFFMAN FORGET MD 1437126927
DR. ADELUOLA G LIPEDE M.D. 1376503250
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.