Individual
KENNETH L RAESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD12800
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881766053
—
ME
Enumeration date
11/14/2006
Last updated
07/03/2023
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