IndividualActive
Justin Mauch, MD
NPI 1295081461 · Neuroradiology Physician · Grand Forks, ND
Provider details
- NPI number
- 1295081461
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 107077 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1200 S Columbia Rd
Grand Forks, ND 58201
Phone: (701) 780-5000
Fax: (701) 780-4477
Approximate (ZIP-level) locationGet directions
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Registry dates
- Enumerated
- 2012-07-25
- Last updated
- 2018-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.