Individual
SHANNON M DESCHENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
180 CHURCH HILL RD, SUITE 1, LEEDS, ME 04263-3418
(207) 524-3501
(207) 524-2093
Mailing address
180 CHURCH HILL RD, SUITE 1, LEEDS, ME 04263-3418
(207) 524-3501
(207) 524-2093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1533
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831178458
—
ME
Enumeration date
01/12/2006
Last updated
01/10/2018
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