Individual
DR. CHRISTOPHER MATTHEW MUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 828-2100
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 448-2780
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101022053
MI
2085R0202X
Diagnostic Radiology Physician
Primary
DO2974
ME
208D00000X
General Practice Physician
5101022053
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104231687
—
ME
Enumeration date
06/24/2014
Last updated
11/10/2021
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