Individual
TRACI B SCHILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 KENNEDY MEMORIAL DR, SUITE 203, WATERVILLE, ME 04901-4540
(207) 861-7050
(207) 861-7056
Mailing address
180 KENNEDY MEMORIAL DR, SUITE 203, WATERVILLE, ME 04901-4540
(207) 861-7050
(207) 861-7056
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
018172
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013587
—
VT
05
—
2134021
—
MA
05
—
434423499
—
ME
Enumeration date
02/15/2007
Last updated
12/30/2009
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