# MAURICE CONVERSE

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

## Provider details

- **NPI number:** 1982882957
- **Authorized official:** DEIRDRE ANN HARDY (SENIOR CLIENT REP)
- **Authorized official phone:** (419) 380-0116

## Contact information

- **Practice address:** 6253 W WYANDOTTE RD, MAUMEE, OH 43537-1336
- **Practice address phone:** (419) 865-4464
- **Mailing address:** 6253 W WYANDOTTE RD, MAUMEE, OH 43537-1336
- **Mailing address phone:** (419) 865-4464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 35020368C | OH | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 02/01/2008