| Doctor Name: | MICHELLE M. MAUREAU |
| NPI Number: | 1609821073 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 5101012819 |
| Business Practice Address: | 17717 Masonic Fraser, MI - 480263158 |
| Business Phone Number: | 5862940600 |
| Business Fax Number: | |
| Mailing Address: | 17717 Masonic, FRASER |
| State: | MI |
| Postal Code: | 480263158 |
| Phone Number: | 5862940600 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101012819 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |