Individual
SUSANNAH KATHRYN DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 PARK AVE, PORTLAND, ME 04102-2911
(207) 874-2141
Mailing address
295 PARK AVE, PORTLAND, ME 04102-2911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD29629
ME
Other
Enumeration date
03/24/2022
Last updated
09/08/2025
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