Individual
WILLIAM DAVID MAUCK
Active
Individual
WILLIAM DAVID MAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
42000
MN
208D00000X
General Practice Physician
42000
MN
208VP0014X
Interventional Pain Medicine Physician
Primary
42000
MN
208VP0014X
Interventional Pain Medicine Physician
71937
WI
Other
Enumeration date
02/10/2006
Last updated
09/29/2020
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