Individual
MELINDA MOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3470
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012976
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100401
ANTHEM
ME
01
—
3461591
AETNA
ME
Enumeration date
05/17/2006
Last updated
05/12/2008
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