Individual
TIFFANY R MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9200 W WISCONSIN AVE, ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Mailing address
9200 W WISCONSIN AVE, ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2787
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215213210
—
WI
Enumeration date
10/24/2011
Last updated
10/26/2015
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