Individual
ROLAND H KNAUSENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 KENNEDY MEMORIAL DRIVE, STE 202, WATERVILLE, ME 04901
(207) 872-2900
(207) 872-8495
Mailing address
174 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5134
(800) 395-0232
(207) 861-3281
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01428
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099282
ANTHEM
ME
05
—
131920099
—
ME
Enumeration date
09/13/2006
Last updated
06/03/2014
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