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Individual

ALAN KEITH MAUSER

Active
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Individual

ALAN KEITH MAUSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
176
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049285
ANTHEM
KY
01
—
1059382
PASSPORT HEALTH PLAN
KY
05
—
200082600
—
IN
05
—
80001761
—
KY
01
—
P01048197
RAILROAD MEDICARE
IN
Enumeration date
01/20/2006
Last updated
02/09/2023
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