Dr. Brian Ted Maurer
Adult Reconstructive Orthopaedic Surgeon
303 N William Kumpf Blvd
Peoria
, Illinois 61605-2507
Dr. Brian Ted Maurer
Adult Reconstructive Orthopaedic Surgeon
303 N William Kumpf Blvd
Peoria
, Illinois 61605-2507
(309) 676-5045
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Brian Ted Maurer
- 303 N William Kumpf Blvd
- Peoria, IL
- Zip : 61605-2507
- Fax : (309) 676-5045
- Phone : (309) 676-5546
Second Address
- Dr. Brian Ted Maurer
- 303 N William Kumpf Blvd
- Peoria, IL
- Zip : 61605-2507
- Fax : (309) 676-5045
- Phone : (309) 676-5546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 36082960 | IL |
National Provider Identifier
| NPI | 1225038532 |
|---|---|
| Provider Name | Dr. Brian Ted Maurer |
| First Address | Peoria, IL 61605-2507 |
| Second Address | Peoria, IL 61605-2507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 04/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36082960 | (05) | IL |
| F85691 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.