Individual
MR. JOHN STANTON MACINNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN CERTIFIED
Contact information
Practice address
885 UNION STREET, SUITE 140, BANGOR, ME 04401-3082
(207) 942-0332
(207) 942-0332
Mailing address
885 UNION STREET, SUITE 140, BANGOR, ME 04401-3082
(207) 942-0332
(207) 942-0332
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
10328
ME
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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