Provider Demographics
NPI:1275544611
Name:COURSER, MARIA CHRISAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CHRISAN
Last Name:COURSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 WALTHAM RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3863
Mailing Address - Country:US
Mailing Address - Phone:614-481-3491
Mailing Address - Fax:
Practice Address - Street 1:1117 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3601
Practice Address - Country:US
Practice Address - Phone:614-299-6333
Practice Address - Fax:614-299-6054
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-3760208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
4192751Medicare PIN