Individual
JOSHUA SMESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3450
Mailing address
56 LILY ROCK RD, CORINNA, ME 04928-3426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2697
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2023
Last updated
08/16/2024
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