Individual
MICHAEL L BUZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
94 AUBURN ST, PORTLAND, ME 04103-2141
(207) 776-0182
(207) 797-7029
Mailing address
94 AUBURN ST, PORTLAND, ME 04103-2141
(207) 776-0182
(207) 797-7029
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT3310
ME
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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