Individual
DR. BRUCE GLENN ROTTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
MD29365
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
24697
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2018
Last updated
05/30/2025
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