Individual
BRYAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
(207) 474-3441
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-5121
(207) 474-3441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
EC171070
ME
207Q00000X
Family Medicine Physician
Primary
MD22880
ME
Other
Enumeration date
06/19/2017
Last updated
07/03/2023
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