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Individual

MICHAEL ENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-2338
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD15594
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
015594
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD15594
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538121074
ME
Enumeration date
09/09/2005
Last updated
12/20/2023
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