Individual
KRISTALYN J MAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 LONG RAPIDS PLZ, ALPENA, MI 49707
(989) 356-9333
(989) 356-0804
Mailing address
401 LONG RAPIDS PLZ, ALPENA, MI 49707-1394
(989) 356-9333
(989) 356-0804
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301119297
MI
207X00000X
Orthopaedic Surgery Physician
FD2397304-8208
MI
207X00000X
Orthopaedic Surgery Physician
R6241
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2013
Last updated
07/18/2019
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