Organization
WATERVILLE SURGICAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCHULZ D.O. (OWNER)
(207) 497-2996
Entity
Organization
Contact information
Practice address
25 FIRST PARK DR, OAKLAND, ME 04963-5361
(207) 497-2996
(207) 497-3467
Mailing address
541 MASON BAY RD, JONESPORT, ME 04649-3501
(207) 497-2996
(207) 497-3467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1754
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431898100
—
ME
Enumeration date
04/05/2007
Last updated
07/21/2009
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