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Individual
JONATHAN CARL FELLERS
Active
Individual
JONATHAN CARL FELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
MD20613
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD20613
ME
2084P0800X
Psychiatry Physician
MD20613
ME
2084P0802X
Addiction Psychiatry Physician
Primary
MD20613
ME
Other
Enumeration date
05/25/2009
Last updated
08/22/2025
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