Individual
DR. GLENDA M. MAURER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
711 N NORTON AVE, NORTON, KS 67654-1449
(785) 877-3351
(785) 877-3646
Mailing address
711 N NORTON AVE, NORTON, KS 67654-1449
(785) 877-3351
(785) 877-3646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0426800
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051920
BLUE CROSS BLUE SHIELD
KS
01
—
629690
FIRST GUARD
—
Enumeration date
06/24/2005
Last updated
07/08/2007
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