Mauch, Justin
Mauch, Justin is an individual health care provider with primary practice located at 1200 S Columbia Rd , Grand Forks ND 58201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Mauch, Justin can be contacted via phone (701) 780-5000.Contact Information
Primary practice address
1200 S Columbia Rd
Grand Forks ND 58201
Phone: (701) 780-5000
Fax: (701) 780-4477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 107077 | Minnesota |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 56991 | Minnesota |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | PT15146 | North Dakota |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | PT15146 | North Dakota |
Profile Details
| NPI number | 1295081461 |
|---|---|
| LBN Legal business name | Mauch, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Jun 15th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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