Maxwell Wagenknecht is an addiction (substance use disorder) counselor in Philadelphia, PA. Maxwell Wagenknecht NPI is 1306297015. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
112 N BROAD ST
PHILADELPHIA, PA
ZIP 19102-512
Phone: (215) 568-0860
The NPI 1306297015 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 6/23/2016 and was last updated on 6/23/2016.