Individual
RYAN MICHAEL WHITEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
200 SOMERSET ST, MILLINOCKET, ME 04462-1258
(207) 723-5161
(207) 723-3008
Mailing address
69 PARK ST, EAST MILLINOCKET, ME 04430-1132
(207) 447-1510
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT2574
ME
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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