Individual
DR. MISHA PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
417 STATE ST, SUITE 400, BANGOR, ME 04401-6630
(207) 942-6096
Mailing address
417 STATE ST, PENOBSCOT RESPIRATORY, BANGOR, ME 04401
(207) 942-6096
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD19678
ME
207RP1001X
Pulmonary Disease Physician
Primary
MD19678
ME
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD19678
ME
Other
Enumeration date
01/28/2009
Last updated
07/05/2013
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