Individual
ROSS N ISACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2456
(207) 779-2496
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2456
(207) 779-2496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO2510
ME
208M00000X
Hospitalist Physician
Primary
DO2510
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861753212
—
ME
Enumeration date
06/01/2012
Last updated
03/17/2025
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