Individual
SUZANNE BAGIN BOHLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
46 BARRA RD STE 103, BIDDEFORD, ME 04005-9461
(207) 283-1126
(207) 294-3544
Mailing address
46 BARRA RD STE 103, BIDDEFORD, ME 04005-9461
(207) 283-1126
(207) 294-3544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2058
ME
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA2058
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881852150
—
ME
Enumeration date
05/23/2008
Last updated
08/30/2024
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