Individual provider · NPI-1
Michelle Garcia, MD
Family Medicine · Gorham, ME
NPI number1215375589
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1215375589
- Entity type
- Individual (NPI-1)
- Name
- Michelle Garcia
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2013
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD20723 | ME | Yes |
Practice location
19 S Gorham XingGorham, ME 04038-2690
Phone 207-535-1400 · Fax 207-535-1439
Mailing address
19 S Gorham XingGorham, ME 04038-2690
Phone 207-535-1400 · Fax 207-535-1439
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