Individual
JOHN SCOTT MAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 857-5750
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
48107
WI
207RX0202X
Medical Oncology Physician
01094982A
IN
207RX0202X
Medical Oncology Physician
48107
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32836000
—
WI
01
—
P00823737
RR MEDICARE
WI
Enumeration date
02/28/2006
Last updated
02/03/2025
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