MEDICARE: MAXWELL TAYLOR CERNY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	3070	MN

General Provider Information

NPI Number	:	1639687957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAXWELL TAYLOR CERNY

Provider Business Mailing Address
First Line	:	1120 9TH AVE S APT 103
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-5566
Country	:	US
Telephone Number	:	608-769-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 9TH AVE S APT 103
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-5566
Country	:	US
Telephone Number	:	608-769-5252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2018
Last Update Date	:	01/22/2018

Similar Medicare Providers

1093087645 — 'THERE'S NO PLACE LIKE HOME' MICROBOARD, INC.
Practice Location Address:

2813 S HIELAND RD
SAINT ANNE, IL
60964-5566

Practice Phone: 815-954-5621
Practice Fax:

1326570839 — RACHEL KALINA LCSW
Practice Location Address:

970 N SPOEDE RD APT 15
SAINT LOUIS, MO
63146-5566

Practice Phone: 314-496-0183
Practice Fax:

1922572254 — VIKTORIYA ZORCHENKO
Practice Location Address:

226 PARK AVE S STE 200
SAINT CLOUD, MN
56301-3713

Practice Phone: 320-452-9390
Practice Fax:

1063366417 — ABDULLAHI EWAL JAMA
Practice Location Address:

3341 W SAINT GERMAIN ST STE 101
SAINT CLOUD, MN
56301-7315

Practice Phone: 320-217-2377
Practice Fax:

1033063482 — SEHAM MOHAMED AHMED
Practice Location Address:

3341 W SAINT GERMAIN ST STE 101
SAINT CLOUD, MN
56301-7315

Practice Phone: 320-217-2377
Practice Fax:

1588518732 — HODAN ABDIBASHIR RASHID
Practice Location Address:

3341 W SAINT GERMAIN ST STE 101
SAINT CLOUD, MN
56301-7315

Practice Phone: 320-217-2377
Practice Fax:

Directions to “ MAXWELL TAYLOR CERNY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.