Individual
MR. PETR SMEJKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 UNION ST, MAINE COAST MEMORIAL HOSPITAL, ELLSWORTH, ME 04605-1534
(207) 664-5304
(207) 664-5305
Mailing address
50 UNION ST, MAINE COAST MEMORIAL HOSPITAL, ELLSWORTH, ME 04605-1534
(207) 664-5304
(207) 664-5305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017015
ME
208M00000X
Hospitalist Physician
017015
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME172601
MEDICARE PTAN
ME
Enumeration date
07/20/2006
Last updated
03/24/2010
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