Individual
WENDI DOLLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
18 MECHANIC ST, GORHAM, ME 04038-1510
(207) 890-5272
Mailing address
24 BRAMBLEWOOD LANE, UNIT B, GORHAM, ME 04038
(207) 890-5272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT2491
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099638
ANTHEM BLUE CROSS BLUE SH
ME
Enumeration date
09/10/2007
Last updated
07/31/2015
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