Individual
DOROTHY MARIE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 UNION ST, LIVERMORE FALLS, ME 04254-1229
(207) 376-9009
Mailing address
38 UNION ST, LIVERMORE FALLS, ME 04254-1229
(207) 376-9009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011788
ME
207QA0401X
Addiction Medicine (Family Medicine) Physician
011788
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046910
ANTHEM
ME
01
—
3410872
AETNA
ME
05
—
404570000
—
ME
Enumeration date
02/22/2006
Last updated
03/17/2019
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