National Provider Identifier Database

JUSTIN MAUCH, MD – NPI #1295081461
Neuroradiology

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.


Contact Information

JUSTIN MAUCH, MD
1200 S COLUMBIA RD
GRAND FORKS, ND58201
Phone: 701-780-5000
Fax: 701-780-4477
Website:
Specialty Taxonomy Code
* Neuroradiology 2085N0700X
Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JUSTIN MAUCH

NPI Number 1295081461
Credentials MD
Entity Individual
Enumeration date 07/25/2012
Last updated 06/15/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 107077
  • MN License #: 56991
  • ND License #: PT15146
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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