Individual
RONALD MAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 S DIXON RD, KOKOMO, IN 46902-6400
(765) 455-5400
(765) 865-3912
Mailing address
2330 S DIXON RD, KOKOMO, IN 46902-6400
(765) 455-5400
(765) 865-3912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024891
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136340
—
IN
Enumeration date
10/25/2006
Last updated
10/20/2014
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