Individual
ROSS FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MMP ORTHOPEDICS AND SPORTS MEDICINE, 119 GANNET DRIVE, SOUTH PORTLAND, ME 04106
(207) 773-0040
Mailing address
MMP ORTHOPEDICS AND SPORTS MEDICINE, 119 GANNET DRIVE, SOUTH PORTLAND, ME 04106
(207) 773-0040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10320669-1205
UT
207X00000X
Orthopaedic Surgery Physician
MD15421
RI
207X00000X
Orthopaedic Surgery Physician
Primary
MD22336
ME
207XP3100X
Pediatric Orthopaedic Surgery Physician
10320669-1205
UT
207XS0106X
Orthopaedic Hand Surgery Physician
10320669-1205
UT
Other
Enumeration date
05/20/2011
Last updated
12/22/2022
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