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Individual

SUSAN MARIE ST PIERRE

Active
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Individual

SUSAN MARIE ST PIERRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1409
ME
207Q00000X
Family Medicine Physician
20A14943
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
1409
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243530099
ME
05
34330534
NM
05
48178845
CO
05
796386
AZ
Enumeration date
10/06/2005
Last updated
05/23/2024
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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