Deanna L Pouliot, M.D.
Internal Medicine in Brunswick, ME. Individual provider (NPI-1).
NPI number1083661722
StatusActive
Last updated in NPPESJul 2, 2020
Details
- NPI
- 1083661722
- Entity type
- Individual (NPI-1)
- Name
- Deanna L Pouliot
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 017437 | ME | Yes |
Practice location
123 Medical Center DrBrunswick, ME 04011-2652
Phone 207-373-6000
Mailing address
123 Medical Center DrBrunswick, ME 04011-2652
Phone 508-277-5323
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