Individual
MARY E DUDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
735 WILSON ST, BREWER, ME 04412-1000
(079) 891-5672
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
013330
ME
207Q00000X
Family Medicine Physician
Primary
MD13330
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11160
ANTHEM
ME
05
—
1790764512-003
—
ME
01
—
MD13330
MAINE LICENSE
ME
Enumeration date
01/23/2006
Last updated
08/04/2023
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