Provider Demographics
NPI:1114903424
Name:MAUCH, WILLIAM DEE (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DEE
Last Name:MAUCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:218 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3932
Mailing Address - Country:US
Mailing Address - Phone:785-827-9635
Mailing Address - Fax:785-827-6697
Practice Address - Street 1:218 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3932
Practice Address - Country:US
Practice Address - Phone:785-827-9635
Practice Address - Fax:785-827-6697
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-25124208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1001598801Medicaid
F83920Medicare UPIN
KS1001598801Medicaid