Individual
SAMUEL MADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5101
(207) 872-4341
Mailing address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO2620
ME
390200000X
Student in an Organized Health Care Education/Training Program
TP13121
ME
Other
Enumeration date
06/10/2013
Last updated
07/21/2022
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