Individual
DANIEL T MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3991 DUTCHMANS LN, SUITE 208, LOUISVILLE, KY 40207-4700
(502) 897-2440
(502) 897-2455
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24476
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000694577
ANTHEM - NOTC
KY
01
—
000057080Y
HUMANA - NOTC
KY
05
—
100355000
—
IN
01
—
121690
SIHO - NOTC
KY
01
—
1959517
CIGNA - NOTC
KY
01
—
50031099
PASSPORT & PASSPORT ADVANTAGE - NOTC
KY
05
—
64244767
—
KY
Enumeration date
06/09/2005
Last updated
07/12/2016
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