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Individual

DR. VILLI PETERS ENDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
012829
ME
207L00000X
Anesthesiology Physician
147526-1
NY
207L00000X
Anesthesiology Physician
MD-052485-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006187
ANTHEM OF MAINE
ME
01
1740263433
INDIVIDUAL NPI
ME
05
218470000
ME
Enumeration date
11/28/2005
Last updated
03/26/2009
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