Individual
MR. MICHAEL R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 HIGH ST, SOUTH PORTLAND, ME 04106-2028
(207) 767-0339
Mailing address
259 HIGH ST, SOUTH PORTLAND, ME 04106-2028
(207) 767-0339
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
06/23/2009
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