Individual
SAMUEL POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
Mailing address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27167
ME
Other
Enumeration date
03/26/2020
Last updated
07/20/2023
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