Individual
DR. BAILEY IVA DITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
181 MAIN ST, NORWAY, ME 04268-5664
(207) 743-5933
(207) 743-1566
Mailing address
181 MAIN ST, NORWAY, ME 04268-5664
(207) 743-5933
(207) 743-1566
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO3206
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101024534
STATE LICENSE
MI
01
—
DO3206
STATE LICENSE
ME
Enumeration date
05/15/2017
Last updated
04/29/2025
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