Individual
MICHAEL D DUFRESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12 SHUMAN AVE STE 6, AUGUSTA, ME 04330-6020
(207) 307-0958
(207) 512-5909
Mailing address
12 SHUMAN AVE STE 6, AUGUSTA, ME 04330-6020
(207) 307-0958
(207) 512-5909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2068
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432681799
—
ME
Enumeration date
08/24/2006
Last updated
04/01/2024
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