Individual
DR. THEODORE FITCH MAUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 THORNAPPLE RIVER DR SE, GRAND RAPIDS, MI 49546-9736
(616) 676-0208
Mailing address
1325 THORNAPPLE RIVER DR SE, GRAND RAPIDS, MI 49546-9736
(616) 676-0208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301039223
MI
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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