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Individual

DR. PREDRAG M LATKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 MAIN ST, LEWISTON, ME 04240
(207) 795-2330
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
018040
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
10349
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000094035
BLUE CROSS BLUE SHIELD
05
0061251
MT
05
433587899
ME
01
P00010468
MEDICARE RAILROAD
Enumeration date
02/07/2006
Last updated
03/17/2026
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