Individual
MARK A KANDUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 MAIN ST, BAR HARBOR, ME 04609-1648
(207) 288-5081
(207) 288-8449
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-8449
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD10687
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101990099
—
ME
01
—
MD10687
MAINE LICENSE
ME
Enumeration date
01/25/2006
Last updated
06/23/2017
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