Individual
IAN MUKAND-CERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 STATE ST STE 439, BANGOR, ME 04401-6635
(207) 941-8200
(207) 990-4848
Mailing address
417 STATE ST STE 439, BANGOR, ME 04401-6635
(207) 941-8200
(207) 990-4848
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
28520
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
258041
MA
Other
Enumeration date
07/06/2010
Last updated
11/28/2018
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