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Individual

DR. MICHAEL DAVID PLEACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
47 WATSON DR, BRUNSWICK, ME 04011
(207) 274-0285
Mailing address
47 WATSON DR, BRUNSWICK, ME 04011

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16483
ME
2080S0010X
Pediatric Sports Medicine Physician
MD16483
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
942854058645
UT
Enumeration date
08/28/2006
Last updated
11/08/2021
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