Individual
ROBERT M WHITEHOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 STATE ST, BANGOR, ME 04401-6630
(207) 973-8833
(207) 973-8836
Mailing address
417 STATE ST, BANGOR, ME 04401-6638
(207) 973-8833
(207) 973-8836
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
016759
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061395
BLUE CROSS/BLUE SHIELD
ME
Enumeration date
10/25/2005
Last updated
07/08/2007
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