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Individual

CASSANDRE TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
7 MADELYN LN # 200, ROCKPORT, ME 04856-4460
(207) 301-5900
Mailing address
15 ANCHOR DR STE 201, ROCKPORT, ME 04856-3845
(207) 301-5900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3132
ME
207Q00000X
Family Medicine Physician
LT20078
ME

Other

Enumeration date
04/23/2017
Last updated
11/13/2020
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