Individual
DR. JOHN A BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4100
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1617
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780604777
—
ME
Enumeration date
07/20/2006
Last updated
11/27/2012
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