Provider Demographics
NPI:1215987102
Name:SPRENGER, MAURICE ANDREW (MD)
Entity type:Individual
Prefix:
First Name:MAURICE
Middle Name:ANDREW
Last Name:SPRENGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 HO'OHANA STREET SUITE 303
Mailing Address - Street 2:SUITE 303
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732
Mailing Address - Country:US
Mailing Address - Phone:808-873-0947
Mailing Address - Fax:808-871-2106
Practice Address - Street 1:203 HOOHANA ST
Practice Address - Street 2:SUITE 303
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2476
Practice Address - Country:US
Practice Address - Phone:808-873-0947
Practice Address - Fax:808-871-2106
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI55242084P0800X
GA0504432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry