Individual provider · Type 1 NPI
Justin Mauch, MD
Neuroradiology Physician · Grand Forks, ND
NPI number
1295081461
Active
Practice location
1200 S Columbia Rd
Grand Forks, ND 58201
Fax (701) 780-4477
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 107077 (MN) |
| Diagnostic Radiology Physician | 2085R0202X | 56991 (MN) |
| Diagnostic Radiology Physician | 2085R0202X | PT15146 (ND) |
| Neuroradiology Physician Primary | 2085N0700X | PT15146 (ND) |
Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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About NPI 1295081461
Justin Mauch, MD's National Provider Identifier is 1295081461, issued on Jul 25, 2012. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Grand Forks, ND. The record was last updated on Jun 15, 2018.