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Individual

KARL JARED HINRICHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
311285
NY
207L00000X
Anesthesiology Physician
Primary
MD25293
ME
207LP2900X
Pain Medicine (Anesthesiology) Physician
042-0015346
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
311285
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679935043
ME
Enumeration date
03/24/2016
Last updated
01/03/2022
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