Individual
JOHN W DIEFENDERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5101
(207) 872-4341
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5101
(207) 872-4341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2785
ME
207Q00000X
Family Medicine Physician
UO 4638
FL
Other
Enumeration date
06/08/2015
Last updated
01/20/2021
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