Individual
STANLEY L WHITTEMORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 BROADWAY, BUCKSPORT REGIONAL HEALTHCENTER, BUCKSPORT, ME 04416
(207) 469-7371
(207) 469-7306
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
(207) 469-7306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00017552
WA
207Q00000X
Family Medicine Physician
Primary
MD19942
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518966027
NPI
ME
01
—
MD00017752
MEDICAL LICENSE
WA
01
—
MD19942
STATE OF MAINE
ME
Enumeration date
07/18/2005
Last updated
03/07/2023
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