Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 1248 | MA |
Y | 213ES0103X | Foot & Ankle Surgery | POD1098 | ME |
NPI | 1104138007 |
---|---|
Provider Name | Dr. Winston Harper |
First Address | Bangor, ME 04401-5671 |
Second Address | Bangor, ME 04401-5671 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 26/04/2019 |