Individual
ELLEN M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
839 W MAIN ST, DOVER FOXCROFT, ME 04426-1334
(207) 564-2536
(207) 564-8581
Mailing address
PO BOX 327, DOVER-FOXCROFT, ME 04426-0327
(207) 564-2536
(207) 564-8581
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD155
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112960000
—
ME
Enumeration date
09/05/2006
Last updated
02/05/2015
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