Individual
SALIM ADEWALE GNABODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSC.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(857) 246-3890
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(857) 246-3890
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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