Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 19499 | MN |
Y | 2080P0210X | Pediatric Nephrologist | 19499 | MN |
NPI | 1174607436 |
---|---|
Provider Name | Dr. Sheldon Michael Mauer |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 26/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0051701 | (05) | MT |
0999615 | (05) | IA |
1010352 | PREFERRED ONE (01) | |
101067 | UCARE (01) | |
2104056 | (05) | OH |
2T296MA | BLUE CROSS BLUE SHIELD (01) | |
31-13334 | MEDICA CHOICE (01) | |
31330800 | (05) | WI |
31-72694 | MEDICA PRIMARY (01) | |
603744 | ARAZ (01) | |
895080600 | (05) | MN |
91194993 | (05) | CO |
D82065 | (02) | |
HP21993 | HEALTH PARTNERS (01) |