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Individual

STEVEN GEORGE YERID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
91 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8120
(207) 777-8984
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 95000 LBX 7650, PHILADELPHIA, PA 19195-0001
(207) 777-8950
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
226982
MA
207P00000X
Emergency Medicine Physician
Primary
MD23973
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110074041A
MA
Enumeration date
09/28/2006
Last updated
10/29/2021
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