Individual
MICHAEL MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9697 SAINT CATHERINES DR # 200, PLEASANT PRAIRIE, WI 53158-2118
(262) 577-8000
Mailing address
17425 SUMMIT VIEW PLACE LN, WILDWOOD, MO 63038-2106
(314) 707-2504
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7641-23
WI
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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