Individual
BRIAN MAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 N CAMPUS RIDGE DR, SUITE D2400, MIDLAND, MI 48640-6112
(989) 837-9250
(989) 837-9255
Mailing address
4401 N CAMPUS RIDGE DR, SUITE D2400, MIDLAND, MI 48640-6112
(989) 837-9250
(989) 837-9255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BM080884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G30759
UPIN
MA
Enumeration date
08/30/2006
Last updated
05/14/2012
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