Individual
GARY P DEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
175 W BROADWAY, LINCOLN, ME 04457-4000
(207) 794-6700
(207) 794-6777
Mailing address
PO BOX 99, LINCOLN, ME 04457-0099
(207) 794-6700
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
00320
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD1023
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH0142
RAILROAD GROUP
KY
Enumeration date
02/22/2006
Last updated
06/12/2014
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