Individual
SAMUEL M MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2515 GRAND PRAIRIE PKWY, WAUKEE, IA 50263-8979
(515) 644-9033
Mailing address
2515 GRAND PRAIRIE PKWY, WAUKEE, IA 50263-8979
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.119290
IL
208600000X
Surgery Physician
39356
IA
2086S0122X
Plastic and Reconstructive Surgery Physician
036.119290
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
39356
IA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD-39356
IA
Other
Enumeration date
05/22/2007
Last updated
12/30/2025
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