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NPI Code Detail

MEDICARE: MICHAEL G MAURIZI MD

MEDICARE:   MICHAEL G MAURIZI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician106354MO

General Provider Information

NPI Number : 1235252453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL G MAURIZI MD
Provider Business Mailing Address
First Line : 1513 UNION AVE STE 2500
Second Line :
City : MOBERLY
State : MO
Zip : 65270-9412
Country : US
Telephone Number : 660-372-1313
Fax Number : 660-372-1339
Provider Business Practice Location Address
First Line : 1513 UNION AVE STE 2500
Second Line :
City : MOBERLY
State : MO
Zip : 65270-9412
Country : US
Telephone Number : 660-372-1313
Fax Number : 660-372-1339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 12/18/2023

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Directions to “ MICHAEL G MAURIZI MD” Practice Location

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