Individual
MARCUS MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N. MORRIS ST., STOUGHTON, WI 53589-1857
(608) 873-9454
(608) 873-5748
Mailing address
1405 E. RD. 7, EDGERTON, WI 53534-9027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
977-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40368700
—
WI
Enumeration date
01/19/2007
Last updated
07/08/2007
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