Provider Demographics
NPI:1316284243
Name:MAAS, PAULA KRISTINE (MD)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:KRISTINE
Last Name:MAAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 GOLDENEYE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-6080
Mailing Address - Country:US
Mailing Address - Phone:616-399-3662
Mailing Address - Fax:
Practice Address - Street 1:1904 GOLDENEYE DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-6080
Practice Address - Country:US
Practice Address - Phone:616-399-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010613802085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging