Individual
DR. SUZANNE HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
435 MUZZY RIDGE RD, SEARSMONT, ME 04973-3202
(207) 342-2688
Mailing address
PO BOX 300, LINCOLNVILLE CENTER, ME 04850-0300
(207) 342-2688
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
015655
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303480099
—
ME
Enumeration date
06/24/2005
Last updated
09/02/2011
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