Individual
LAURA VIRGINIA MAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2220 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1321
(612) 341-5000
(612) 371-1673
Mailing address
8170 33RD AVE S, MS: 21110Q, BLOOMINGTON, MN 55425-4516
(612) 341-5000
(612) 371-1673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61132
MN
390200000X
Student in an Organized Health Care Education/Training Program
MT205033
PA
Other
Enumeration date
06/14/2013
Last updated
01/19/2017
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