Individual
MR. MICHAEL G CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
110 FREE ST, PORTLAND, ME 04101-3576
(207) 661-1025
(207) 810-2407
Mailing address
110 FREE ST, PORTLAND, ME 04101-3576
(207) 661-1025
(207) 810-2407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA001233
ME
363A00000X
Physician Assistant
Primary
PA1233
ME
Other
Enumeration date
08/11/2010
Last updated
09/28/2023
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