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Individual

ALAN KEITH MAUSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2525 BARDSTOWN RD, LOUISVILLE, KY 40205-2665
(502) 458-8989
(502) 451-5439
Mailing address
2525 BARDSTOWN RD, LOUISVILLE, KY 40205-2665
(502) 458-8989
(502) 451-5439

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
176
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049285
ANTHEM
KY
01
1059382
PASSPORT HEALTH PLAN
KY
05
200082600
IN
05
80001761
KY
01
P01048197
RAILROAD MEDICARE
IN
Enumeration date
01/20/2006
Last updated
02/09/2023
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