Healthcare Provider Details

I. General information

NPI: 1720667322
Provider Name (Legal Business Name): MAXIMILLIAN JAMES HILL STARR DO, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 N SHORE DR
RHINELANDER WI
54501-6713
US

IV. Provider business mailing address

2823 ASPEN RD
RHINELANDER WI
54501-8563
US

V. Phone/Fax

Practice location:
  • Phone: 218-428-2109
  • Fax:
Mailing address:
  • Phone: 218-428-2109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number8235221
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: