Individual
DR. WALTER N MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 BUCKSPORT RD, SUITE B, ELLSWORTH, ME 04605-2239
(207) 667-6300
(207) 667-9523
Mailing address
PO BOX 1539, BLUE HILL, ME 04614-1539
(207) 667-6300
(207) 667-9523
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
014860
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300850099
—
ME
Enumeration date
02/23/2006
Last updated
02/11/2010
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