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Individual

EDWARD J MAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, AMPT, OCS, CMPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4910-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447294053
WI MEDICAID
WI
01
P01347424
RAILROAD MEDICARE
WI
Enumeration date
06/15/2006
Last updated
09/30/2014
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