Individual
STEPHEN JAY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8000
Mailing address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD24007
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD24007
MEDICAL LICENSE
ME
Enumeration date
04/16/2013
Last updated
11/03/2020
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