Individual
MIGUEL A. VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 CHABOT ST, WESTBROOK, ME 04092-4817
(207) 857-9311
(207) 857-9324
Mailing address
2 CHABOT ST, WESTBROOK, ME 04092-4817
(207) 857-9311
(207) 857-9324
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1761
ME
207Q00000X
Family Medicine Physician
1761
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431815799
—
ME
Enumeration date
07/05/2006
Last updated
06/04/2010
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