| David A Thanhauser | |
|
75 Northport Ave Belfast ME 04915-6000 | |
| (207) 338-3995 | |
| (207) 338-2831 |
| Full Name | David A Thanhauser |
|---|---|
| Speciality | Family Medicine |
| Location | 75 Northport Ave, Belfast, Maine |
| Authorized Official Name and Position | David A Thanhauser (OWNER) |
| Authorized Official Contact | 2073383995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Thanhauser 75 Northport Ave Belfast ME 04915-6000 Ph: (207) 338-3995 | David A Thanhauser 75 Northport Ave Belfast ME 04915-6000 Ph: (207) 338-3995 |
| NPI Number | 1902094816 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 09/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902094816 | NPI | - | NPPES |
| 108540000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 008077 (Maine) | Primary |
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