Individual
SUSAN MARIE ST PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1615 HILL RD STE 14, NOVATO, CA 94947
(415) 895-1441
(415) 895-1288
Mailing address
4 SCAMMON ST STE 19-200, SACO, ME 04072-5121
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
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