Whalio Doctors

NPI 1295081461

Justin Mauch, MD

Practitioner Neuroradiology Physician Grand Forks, ND

Practice location

Address
1200 S Columbia Rd, Grand Forks, ND 58201
Phone
(701) 780-5000
Fax
(701) 780-4477
Mailing address
2401 Demers Ave, Grand Forks, ND 58201

Registered specialties (4)

Neuroradiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085N0700X Licence PT15146 (ND)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 107077 (MN)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 56991 (MN)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence PT15146 (ND)

Registry record

NPI
1295081461
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jul 2012
Record last updated
15 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.