Individual
ETHAN THOMAS PERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
194 MAIN ST STE 204, ELLSWORTH, ME 04605-1939
(207) 300-4027
(207) 300-4028
Mailing address
194 MAIN ST STE 204, ELLSWORTH, ME 04605-1939
(207) 300-4027
(207) 300-4028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3350
ME
Other
Enumeration date
06/04/2019
Last updated
07/06/2024
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