Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxwell Shafer, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780435073

Maxwell Shafer, MD is a Student in an Organized Health Care Education/Training Program in Beavercreek, Ohio. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2145 N Fairfield Rd Ste 100
Beavercreek, OH 45431-2783
Phone: (937) 558-3900
Fax: (937) 558-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780435073
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783

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