Individual
CRAIG J PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
(207) 973-5042
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-303
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332430099
—
ME
Enumeration date
05/18/2006
Last updated
12/02/2010
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