Individual
DANIEL JORDAN SHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8700
(207) 621-7500
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8700
(207) 621-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD25083
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2015
Last updated
11/22/2022
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