Individual
CHRISTINA M ALTSTATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
180 KENNEDY MEMORIAL DR, SUITE 202, WATERVILLE, ME 04901-4540
(207) 872-2900
(207) 872-8495
Mailing address
180 KENNEDY MEMORIAL DR, SUITE 202, WATERVILLE, ME 04901-4540
(207) 872-2900
(207) 872-8495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001084
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432554399
—
ME
Enumeration date
04/24/2007
Last updated
07/08/2007
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