Provider Demographics
NPI:1942276357
Name:MAIBAUER, FREDERICK P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:P
Last Name:MAIBAUER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1135 W UNIVERSITY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1871
Mailing Address - Country:US
Mailing Address - Phone:248-652-9189
Mailing Address - Fax:
Practice Address - Street 1:1135 W UNIVERSITY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1871
Practice Address - Country:US
Practice Address - Phone:248-651-3160
Practice Address - Fax:248-651-0401
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-12-11
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Provider Licenses
StateLicense IDTaxonomies
MI4301029577207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery