Provider Demographics
NPI:1023145588
Name:MAURER, RICHARD KARL (ND)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KARL
Last Name:MAURER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 LAMBERT RD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-6006
Mailing Address - Country:US
Mailing Address - Phone:207-939-2967
Mailing Address - Fax:
Practice Address - Street 1:4 FUNDY RD
Practice Address - Street 2:SUITE #105
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1777
Practice Address - Country:US
Practice Address - Phone:207-781-4447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MENP186175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath