Individual
PETER H BOUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 LINCOLN ST, MILL 6, LEWISTON, ME 04240-7792
(207) 795-7540
(207) 795-7528
Mailing address
70 LINCOLN ST, MILL 6, LEWISTON, ME 04240-7792
(207) 795-7540
(207) 795-7528
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
016653
ME
Other
Enumeration date
04/01/2006
Last updated
10/04/2007
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