Individual
COLETTE SHARLENE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CAMPUS DR UNIT 107, SCARBOROUGH, ME 04074-7172
(207) 396-7606
Mailing address
100 CAMPUS DR UNIT 107, SCARBOROUGH, ME 04074-7172
(847) 702-2043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22285
ME
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD22285
ME
Other
Enumeration date
07/20/2015
Last updated
08/12/2024
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