Individual
MR. MICHAEL SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(072) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD27155
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275996779
—
ME
Enumeration date
04/01/2016
Last updated
08/31/2023
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