Individual
CODY MAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA1645
ME
363AS0400X
Surgical Physician Assistant
Primary
PA1645
ME
Other
Enumeration date
09/09/2016
Last updated
07/23/2024
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