Individual
STEPHEN FAIRCHILD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 BISBEE ST, LISBON, ME 04250-6835
(207) 795-5709
Mailing address
2 BISBEE ST, LISBON, ME 04250-6835
(207) 795-5709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012455
ME
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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