Individual
MICHAEL RICHARD JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
47 BRIMMER ST, BREWER, ME 04412-2135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN78310
ME
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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