Individual
JOHN M WOYTOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 GREAT FALLS PLZ STE 21, AUBURN, ME 04210-5966
(207) 330-3950
(207) 330-3955
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12977
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302320099
—
ME
Enumeration date
02/28/2006
Last updated
05/07/2020
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