Individual
MARY LOUISE B BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3385
Mailing address
324 GANNETT DR STE 200, PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD19752
ME
Other
Enumeration date
12/29/2005
Last updated
11/02/2015
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