Individual
RONALD H PROKOPIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 WATER STREET, BLUE HILL, ME 04614
(207) 374-3933
(207) 374-3985
Mailing address
57 WATER STREET, BLUE HILL, ME 04614
(207) 374-3933
(207) 374-3985
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD16554
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411910099
—
ME
01
—
ME071901
MOUNT DESERT ISLAND HOSP MEDICARE PTAN
ME
Enumeration date
07/07/2005
Last updated
10/05/2012
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