Individual
WILLARD STITZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
680 HANCOCK POND RD, SEBAGO, ME 04029-3015
(207) 571-8585
(207) 513-1069
Mailing address
PO BOX 249, SEBAGO, ME 04029-0249
(207) 571-8585
(207) 513-1069
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
1148
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010847
ANTHEM
ME
05
—
166850099
—
ME
05
—
20001672
—
NH
01
—
E47521
HARVARD PILGRIM HEALTHCAR
—
Enumeration date
12/08/2006
Last updated
09/10/2013
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