Individual
ALEJO VISUARA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769
(956) 821-5505
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(956) 821-5505
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2005016784
MO
Other
Enumeration date
05/08/2007
Last updated
07/11/2018
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