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Individual

DUSKA JOY THURSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
895 UNION ST, SUITE 12, BANGOR, ME 04401-3053
(207) 973-7979
(207) 947-9579
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00036963
WA
208000000X
Pediatrics Physician
Primary
MD19312
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0246MC
REGENCE
WA
01
0264223
L&I AND CRIME VICTIMS
WA
05
1821142472
WA
Enumeration date
01/22/2007
Last updated
12/11/2012
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