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Individual

DANIEL JOSEPH JANDREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
43 HATCH DR, SUITE 150, CARIBOU, ME 04736-2161
(207) 498-2538
(207) 498-2539
Mailing address
PO BOX 280, CARIBOU, ME 04736-0280
(207) 498-2538
(207) 498-2539

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT821
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
034715
ANTHEM
ME
05
248620099
ME
01
410045668
RAILROAD MEDICARE
ME
Enumeration date
12/04/2006
Last updated
05/27/2015
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