Individual
DAVID KISPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(844) 292-0111
Mailing address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(603) 359-5249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
278749
MA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD23845
ME
Other
Enumeration date
05/11/2016
Last updated
06/25/2020
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