Individual
DR. JARED YADON KOHLBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
140 ACADEMY ST STE 10, PRESQUE ISLE, ME 04769-3102
(207) 764-3734
Mailing address
91 MOOSE RIDGE RD, MAPLETON, ME 04757-4156
(207) 768-8309
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
POD1089
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2011
Last updated
07/21/2022
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