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JONATHAN CARL FELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CITY CTR STE 8130, PORTLAND, ME 04101-6420
(207) 221-0635
(207) 221-0634
Mailing address
1 CITY CTR STE 8130, PORTLAND, ME 04101-6420
(207) 221-0635
(207) 221-0634

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
MD20613
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD20613
ME
2084P0800X
Psychiatry Physician
MD20613
ME
2084P0802X
Addiction Psychiatry Physician
Primary
MD20613
ME

Other

Enumeration date
05/25/2009
Last updated
08/22/2025
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