Individual
TODD SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 FODEN RD STE 3, SOUTH PORTLAND, ME 04106-1718
(207) 523-3700
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
016311
ME
Other
Enumeration date
02/06/2006
Last updated
03/03/2026
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