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Individual

DR. SCOTT THOMAS MAURER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 EAST MICHIGAN AVE, SUITE 725, LANSING, MI 48912
(517) 364-5599
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301108861
MI
2080P0202X
Pediatric Cardiology Physician
2012-01960
NC
2080P0202X
Pediatric Cardiology Physician
Primary
4301108861
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5921810
NC
Enumeration date
05/24/2006
Last updated
05/12/2023
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