Individual
AMY K ETZWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 CENTRE ST, BATH, ME 04530-2550
(207) 386-1800
(207) 386-1801
Mailing address
108 CENTRE ST, BATH, ME 04530-2550
(207) 386-1800
(207) 442-9822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016150
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10655701
CAQH
—
Enumeration date
07/07/2005
Last updated
04/03/2018
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