Individual
ANN K MAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-3157
(207) 662-4257
Mailing address
301C US RT 1, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO2298
ME
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D02298
ME
Other
Enumeration date
05/05/2009
Last updated
10/04/2013
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