Individual
JOHN E MAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 LINCOLN PARK BLVD, SUITE 200, KETTERING, OH 45429
(937) 293-1117
(937) 298-4728
Mailing address
540 LINCOLN PARK BLVD STE 200, KETTERING, OH 45429-6403
(937) 293-1117
(937) 298-4728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35055517AM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0731882
—
OH
Enumeration date
04/25/2006
Last updated
02/09/2021
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