Individual
DR. MARTIN D WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-0027
(207) 743-0051
Mailing address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-0027
(207) 743-0051
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
015596
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061139
ANTHEM BLUE CROSS
ME
05
—
325120099
—
ME
01
—
3739577
AETNA
ME
05
—
431545400
—
ME
01
—
M2307901
CIGNA
ME
01
—
P00184354
RAILROAD MEDICARE
ME
Enumeration date
10/14/2005
Last updated
08/28/2012
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