Individual
MR. BRUCE W MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-0111
(207) 662-6236
Mailing address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-0111
(207) 662-6236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R015500
ME
Other
Enumeration date
10/03/2006
Last updated
07/21/2008
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