Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN MAUCH, MD
ActiveJUSTIN MAUCH, MD is a Neuroradiology healthcare provider located in GRAND FORKS, North Dakota. NPI 1295081461 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · GRAND FORKS, ND
Registration Details
- NPI Number
- 1295081461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2012 (13.868265750164 yrs)
- Last Updated
- Jun 15, 2018
- Licenses
-
107077 (MN)56991 (MN)PT15146 (ND)PT15146 (ND)
Practice Information
- Address
-
1200 S COLUMBIA RDGRAND FORKS, ND, 58201Browse ND providers · Browse ZIP 58201
- Phone
- 7017805000
- Fax
- 7017804477
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Neuroradiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.