# M MAUREAU DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952675670
- **Authorized official:** MICHELLE M. MAUREAU DO (OWNER)
- **Authorized official phone:** (810) 820-9438

## Contact information

- **Practice address:** 8382 HOLLY RD, STE 2, GRAND BLANC, MI 48439-1971
- **Practice address phone:** (810) 820-9438
- **Practice address fax:** (810) 820-9456
- **Mailing address:** 3171 MOMENTUM PL, CHICAGO, IL 60689-5331
- **Mailing address phone:** (810) 720-5715
- **Mailing address fax:** (810) 732-0891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101012819 | MI | Yes |

## Other

- **Enumeration date:** 02/27/2012
- **Last updated:** 11/15/2012