Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | DO3196 | ME |
NPI | 1003307752 |
---|---|
Provider Name | Catherine Batz |
First Address | Waterville, ME 04901-4974 |
Second Address | Waterville, ME 04901-4974 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2018 |
Last Update Date | 01/07/2021 |