Individual
MARIE AUDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642
Mailing address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35 124034
OH
208600000X
Surgery Physician
MD25776
ME
2086S0127X
Trauma Surgery Physician
35.124034
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
MD25776
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2009
Last updated
07/18/2022
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