Provider Demographics
NPI:1700037744
Name:MAURER, MARY ANN (DO)
Entity Type:Individual
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First Name:MARY ANN
Middle Name:
Last Name:MAURER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:501 MORRIS STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1326
Mailing Address - Country:US
Mailing Address - Phone:304-388-3323
Mailing Address - Fax:304-388-7294
Practice Address - Street 1:3200 MACCORKLE AVE SE FL 5
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1227
Practice Address - Country:US
Practice Address - Phone:304-388-4600
Practice Address - Fax:304-388-4621
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2023-06-21
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Provider Licenses
StateLicense IDTaxonomies
WV2504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine