Individual
DR. AMY M MARNECHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
91 WALDO AVENUE, BELFAST, ME 04915
(207) 338-1480
(207) 338-1498
Mailing address
PO BOX 209, BELFAST, ME 04915-0209
(207) 338-1480
(207) 338-1498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT795
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308220099
—
ME
01
—
MM7987
PTAN#
ME
Enumeration date
10/04/2006
Last updated
08/14/2014
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