Individual
DR. DAVID LELAND MILBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-4735
(207) 662-6388
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
168702
NY
2085R0202X
Diagnostic Radiology Physician
Primary
MD23990
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477604239
—
ME
Enumeration date
01/16/2007
Last updated
07/13/2020
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