Individual
MEGHANN L. DEROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
44 HOGAN RD, BANGOR, ME 04401-5602
(207) 942-2333
Mailing address
69 MAIN ST STE 4, ORONO, ME 04473-4087
(207) 962-1200
(407) 602-0862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2123
ME
208M00000X
Hospitalist Physician
DO2123
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558330506
—
ME
05
—
1629074075
—
ME
05
—
1679988737
—
ME
05
—
1861697583
—
ME
Enumeration date
06/21/2007
Last updated
10/15/2021
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