Individual
KRISTEN N. MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Mailing address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
02004656A
IN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
5101017875
MI
207RC0000X
Cardiovascular Disease Physician
02004656A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201307880
—
IN
Enumeration date
07/10/2008
Last updated
12/23/2020
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