Individual
MR. GILBERT A POLIQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
50 LISBON ST, LEWISTON, ME 04240-7116
(207) 784-0333
(207) 784-9346
Mailing address
PO BOX 290, 50 LISBON STREET, LEWISTON, ME 04243-0290
(207) 784-0333
(207) 784-9346
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
N/A
ME
237700000X
Hearing Instrument Specialist
Primary
DL43
ME
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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