Individual
MAREK SKACEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST STE 439, BANGOR, ME 04401-6635
(216) 986-1314
(216) 986-1191
Mailing address
417 STATE ST STE 439, BANGOR, ME 04401-6635
(216) 986-1314
(216) 986-1191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017240
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2443761
—
OH
Enumeration date
04/26/2006
Last updated
07/08/2007
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