Individual
TONY MAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95024148
CA
163W00000X
Registered Nurse
RN.1631667
CO
163W00000X
Registered Nurse
RN0000190167
TN
363L00000X
Nurse Practitioner
Primary
9144
WI
363L00000X
Nurse Practitioner
APN.0991646-NP
CO
363LF0000X
Family Nurse Practitioner
95000216
CA
363LP2300X
Primary Care Nurse Practitioner
APN.0991646-NP
CO
Other
Enumeration date
12/13/2013
Last updated
01/26/2024
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