Individual
DANIEL L LOISELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
84 MARGINAL WAY, SUITE 700, PORTLAND, ME 04101
(207) 774-5816
(207) 523-8595
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
014644
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030443
ANTHEM
—
01
—
1041117
AETNA
—
05
—
2580Z0099
—
ME
Enumeration date
03/17/2006
Last updated
03/16/2026
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