Individual
SUZANNE O DATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 PORTLAND RD, BRIDGTON, ME 04009-1256
(207) 255-7552
(207) 569-6150
Mailing address
101 PORTLAND RD, BRIDGTON, ME 04009-1256
(207) 255-7552
(207) 569-6150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15341
ME
Other
Enumeration date
01/31/2006
Last updated
02/06/2024
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