Male or Other

Brian Mauch MD

Pediatrics Physician in Midland, MI(View on Map)

Full Name

Brian Mauch MD

NPI Number

1649380098

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/30/2006

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

BM080884

Contact
Information

Purpose

Mailing
Location

Address

4401 N CAMPUS RIDGE DR
4401 N CAMPUS RIDGE DR

City

Midland
Midland

State

MI
MI

Postal Code

48640-6112
48640-6112

Country

US
US

Telephone Number

(989) 837-9250
(989) 837-9250

Identifiers

Identifier

G30759

Identifier State

MA

Identifier Issuer

UPIN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/14/2012

Provider Address

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