Individual
DONNA CONKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
46 FAIRVIEW AVE, SUITE 111, SKOWHEGAN, ME 04976-1481
(207) 474-0905
(207) 474-6930
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 858-2310
(207) 474-9261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11065
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307060099
—
ME
Enumeration date
07/16/2006
Last updated
08/23/2012
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