Individual
MICHAEL WOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-5709
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-5709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R023153
ME
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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