NPI 1053561852 BRADLEY DUANE MAURHOFF PA-C LA CROSSE WI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Bradley Duane Maurhoff - NPI: 1053561852

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BRADLEY DUANE MAURHOFF
NPI Number: 1053561852
Entity Type Code: Individual (1)
Gender: M
Credentials: PA-C
License Number: 2338-23
Business Practice Address: 1330 N Superior Ave
Tomah, WI - 546601130
Business Phone Number: 6083724111
Business Fax Number:
Mailing Address: 1836 South Ave,
LA CROSSE
State: WI
Postal Code: 546015429
Phone Number: 6087827300
Fax Number:
NPI Enumeration Date: 09/29/2008
NPI Last Update Date: 05/02/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 2338-23
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WI
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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