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Individual

PETER E MORNINGSTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MC

Contact information

Practice address
23 NORTH ST, PRESQUE ISLE, ME 04769-2291
(207) 764-5437
(207) 764-4760
Mailing address
23 NORTH ST, PRESQUE ISLE, ME 04769-2291
(207) 764-5437
(207) 764-4760

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016420
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023021
ANTHEM BLUE CROSS
ME
01
3566877
AETNA
ME
05
410210099
ME
Enumeration date
06/28/2005
Last updated
06/08/2011
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