Individual
ORMANDA DOROTHEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
322 MAIN ST, BAR HARBOR, ME 04609-1648
(207) 288-5119
(207) 288-8449
Mailing address
PO BOX 8, BAR HARBOR, ME 04609-0008
(207) 288-5119
(207) 288-8449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21155
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD21155
STATE LICENSE
ME
Enumeration date
09/18/2018
Last updated
12/05/2018
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