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Individual

MICHAEL ROBERT MAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(937) 548-8898
Mailing address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(937) 548-8898

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3109M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2197304
OH
Enumeration date
08/10/2005
Last updated
03/31/2021
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