Individual
BRADLEY W. MAURER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
6955 HATCHES CORNERS RD, CONNEAUT, OH 44030-8646
(440) 594-3540
Mailing address
6955 HATCHES CORNERS RD, CONNEAUT, OH 44030-8646
(440) 594-3540
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2248213
—
OH
Enumeration date
02/14/2006
Last updated
07/09/2007
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