Individual
GARY M CHALOULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
35 S GAGE RD, OAKLAND, ME 04963
(207) 649-7855
(207) 465-2458
Mailing address
35 S GAGE RD, OAKLAND, ME 04963-4526
(207) 649-7855
(207) 465-2458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81524
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
METPID007828
—
ME
Enumeration date
03/17/2006
Last updated
08/18/2018
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