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Individual

DANIEL I SPRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
887 CONGRESS ST, SUITE 200, PORTLAND, ME 04102-3166
(207) 771-5549
(207) 771-7834
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12045
ME
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD12045
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30200578
NH
05
337810099
ME
Enumeration date
10/04/2006
Last updated
12/01/2014
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