Individual
CHRISTINE M TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
59 MILE ROAD, WELLS, ME 04090
(207) 646-0677
(207) 646-0949
Mailing address
PO BOX 1089, WELLS, ME 04090-1089
(207) 646-0677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T0646
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099788
ANTHEM
ME
01
—
1134309511
GROUP NPI
ME
01
—
MM9626
MEDICARE GROUP NUMBER
ME
Enumeration date
10/23/2006
Last updated
04/20/2008
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