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Individual

DR. ISIDORE CHIMEZIE OKERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 NORTHEAST DR, BANGOR, ME 04401-4332
(207) 275-3800
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38355
IA
207R00000X
Internal Medicine Physician
57.011424
OH
207RC0000X
Cardiovascular Disease Physician
35-120399
OH
207RC0000X
Cardiovascular Disease Physician
Primary
MD20301
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326259078
IA
Enumeration date
05/24/2007
Last updated
03/02/2021
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