Individual
DR. DAVID J SHIPPEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
178 CENTRAL ST, MILLINOCKET, ME 04462
(207) 723-5376
(207) 723-9074
Mailing address
PO BOX 1048, 178 CENTRAL ST, MILLINOCKET, ME 04462
(207) 723-5376
(207) 723-9074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT573
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107890001
—
ME
Enumeration date
09/25/2006
Last updated
07/15/2008
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