Provider Demographics
NPI:1770702656
Name:MAURER, SUE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:SUE
Middle Name:ANNE
Last Name:MAURER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1892 CREEK LNDG
Mailing Address - Street 2:
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-9765
Mailing Address - Country:US
Mailing Address - Phone:517-339-9522
Mailing Address - Fax:517-381-3445
Practice Address - Street 1:1892 CREEK LNDG
Practice Address - Street 2:
Practice Address - City:HASLETT
Practice Address - State:MI
Practice Address - Zip Code:48840-9765
Practice Address - Country:US
Practice Address - Phone:517-339-9522
Practice Address - Fax:517-381-3445
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301063571207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology