Individual
DR. LEIF SKJERLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 663-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 663-0111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO2958
ME
207P00000X
Emergency Medicine Physician
OS21475
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760914030
—
ME
Enumeration date
03/28/2017
Last updated
10/16/2024
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