| Doctor Name: | DR. MICHAEL G MAURIZI |
| NPI Number: | 1235252453 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 106354 |
| Business Practice Address: | 2301 South 65 Highway Marshall, MO - 653403702 |
| Business Phone Number: | 6608867800 |
| Business Fax Number: | 6608313328 |
| Mailing Address: | 2301 South 65 Highway, MARSHALL |
| State: | MO |
| Postal Code: | 653403702 |
| Phone Number: | 6608867800 |
| Fax Number: | 6608313328 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 05/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 106354 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |