Individual
MRS. DOREEN MUIR SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-3638
(207) 373-3616
Mailing address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-3638
(207) 373-3616
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP081563
ME
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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