Individual
JOHN M MAURIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
605 3RD AVE, SUITE D, FREMONT, OH 43420-3269
(419) 355-8070
(419) 355-1109
Mailing address
605 3RD AVE, SUITE D, FREMONT, OH 43420-3269
(419) 355-8070
(419) 355-1109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-004778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201363
ANTHEM B/C B/S
OH
01
—
080172711
RAILROAD MEDICARE
OH
05
—
0827627
—
OH
01
—
740142
BUCKEYE MEDICAID
OH
01
—
R04778
SUMMACARE
OH
Enumeration date
06/21/2006
Last updated
12/31/2015
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