Individual
MICHAEL R PATNAUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50 PARK RD STE 2, WESTBROOK, ME 04092-3176
(207) 775-7171
(207) 775-7117
Mailing address
50 PARK RD STE 2, WESTBROOK, ME 04092-3176
(207) 775-7171
(207) 775-7117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
155719
MA
2084P0800X
Psychiatry Physician
Primary
1568
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011304
CIGNA
ME
01
—
224941000
MAGELLAN
ME
Enumeration date
11/01/2006
Last updated
09/08/2021
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