Individual
PAUL MICHAEL PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 CARTER ST., EAGLE LAKE, ME 04739-0309
(207) 444-5973
(207) 444-5520
Mailing address
10 CARTER ST., PO BOX 309, EAGLE LAKE, ME 04739-0309
(207) 444-5973
(207) 444-5520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012992
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265330099
—
ME
Enumeration date
07/12/2006
Last updated
05/16/2008
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