Individual
DR. DENNIS LEE SHUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 STATE ST, SUITE 101, BANGOR, ME 04401
(207) 433-7071
Mailing address
404 STATE ST, SUITE 101, BANGOR, ME 04401
(207) 433-7071
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
010670
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010670
STATE LICENSE
ME
Enumeration date
10/02/2006
Last updated
07/08/2007
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