Doctor Name: | MRS. DAPHNE D MAURER |
NPI Number: | 1326150095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036113575 |
Business Practice Address: | 1813 W Kirby Ave Champaign, IL - 618215410 |
Business Phone Number: | 2173831850 |
Business Fax Number: | |
Mailing Address: | 611 W Park St, Bwpc URBANA |
State: | IL |
Postal Code: | 618012529 |
Phone Number: | 2173836792 |
Fax Number: | 2173834752 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036113575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |