Individual
MR. ROBERT G MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4000
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA123055
ME
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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