Individual
MR. IAN MICHAEL HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.T./C.S.F.A.
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
(207) 879-3533
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
(207) 879-3533
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/13/2012
Last updated
10/13/2012
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