Individual
JOHN MARLEY DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
592 W MAIN ST, WALDOBORO, ME 04572-6030
(207) 832-6394
(207) 832-4392
Mailing address
PO BOX 680, WALDOBORO, ME 04572-0680
(207) 832-6394
(207) 832-4392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11529
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310640099
—
ME
Enumeration date
07/22/2005
Last updated
03/07/2023
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