Individual
DR. MICHAEL EARL MAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
415 BLAKE RD N, SUITE 240, HOPKINS, MN 55343-8108
(952) 814-0207
(952) 938-8838
Mailing address
2521 HUMBOLDT AVE S APT 108, MINNEAPOLIS, MN 55405-3528
(612) 377-6113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0574
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306039854
BLUECROSS BLUESHIELD OF MINNESOTA
MN
05
—
1306039854
—
MN
Enumeration date
08/18/2007
Last updated
08/23/2009
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