Organization
DAVID A THANHAUSER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A THANHAUSER M.D. (OWNER)
(207) 338-3995
Entity
Organization
Contact information
Practice address
75 NORTHPORT AVE, BELFAST, ME 04915-6000
(207) 338-3995
(207) 338-2831
Mailing address
75 NORTHPORT AVE, BELFAST, ME 04915-6000
(207) 338-3995
(207) 338-2831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008077
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108540000
—
ME
Enumeration date
10/05/2007
Last updated
09/29/2011
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