Individual
DAVID BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MAIN ST, WESTBROOK, ME 04092-4715
(207) 807-1692
(207) 591-5108
Mailing address
300 MAIN ST, WESTBROOK, ME 04092-4715
(207) 807-1692
(207) 591-5108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT2129
ME
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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