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Individual

SUZANNE MARIE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 521-0615
(207) 528-2880
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 521-0615
(207) 528-2880

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13119
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068760
HI
Enumeration date
07/18/2006
Last updated
09/09/2020
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