Kenneth Maisak, DPM
Podiatrist, Foot & Ankle Surgery in Portland, ME. Individual provider (NPI-1).
NPI number1710125596
StatusActive
Last updated in NPPESSep 5, 2012
Details
- NPI
- 1710125596
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Maisak
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2009
- Last updated
- Sep 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | POD1077 | ME | Yes |
Practice location
68 Marginal WayPortland, ME 04101-2444
Phone 207-879-1339 · Fax 207-879-1092
Mailing address
68 Marginal WayPortland, ME 04101-2444
Phone 207-879-1339 · Fax 207-879-1092
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Other Foot & Ankle Surgery Podiatrist providers in Portland, ME
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- Maine Foot And Ankle Specialists, PLLCNPI 1679376065
- John B Perry, DPMNPI 1285624874
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- Robert Taylor Dpm PCNPI 1962803940
- Seacoast Foot And Ankle Center PCNPI 1003663949
All 11 Foot & Ankle Surgery Podiatrist providers in Portland · All 7,184 providers in Portland
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