Individual
MAUREEN PAULY UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 WATER ST, EXCELSIOR, MN 55331-3072
(952) 442-3188
(952) 442-7861
Mailing address
675 WATER ST, EXCELSIOR, MN 55331-3072
(952) 442-3188
(952) 442-7861
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30857
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385302100
—
MN
Enumeration date
12/07/2005
Last updated
12/17/2015
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