Individual
DWIGHT STEPHEN BLEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
10 CUSHING ST, BRUNSWICK, ME 04011-1801
(207) 725-2800
(207) 725-5953
Mailing address
10 CUSHING ST, BRUNSWICK, ME 04011-1801
(207) 725-2800
(207) 725-5953
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
ME POD 204
ME
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
ME POD 204
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000942
ANTHEM
ME
01
—
010446440
TAX ID #
ME
01
—
T31402
HARVARD
ME
Enumeration date
10/02/2006
Last updated
09/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us