Individual
EDWARD J DUNSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 SOMERSET ST, SUITE 3, MILLINOCKET, ME 04462-1258
(207) 723-5173
(207) 723-3040
Mailing address
200 SOMERSET ST, SUITE 3, MILLINOCKET, ME 04462-1258
(207) 723-5173
(207) 723-3040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1716
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2182097
FIRST HEALTH
—
01
—
7411174
AETNA US HEALTHCARE
—
Enumeration date
03/09/2006
Last updated
11/15/2023
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