Individual
DR. MICHAEL STEPHEN BOHANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2381
(207) 662-6226
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35 123526
OH
207P00000X
Emergency Medicine Physician
Primary
MD20922
ME
Other
Enumeration date
04/19/2011
Last updated
04/27/2017
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