Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 073403 | GA |
Y | 208600000X | Surgeon | 073403 | GA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 208139 | MA |
NPI | 1003049776 |
---|---|
Provider Name | Eirik R. Svennevik |
First Address | Presque Isle, ME 04769-3102 |
Second Address | Presque Isle, ME 04769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2009 |
Last Update Date | 01/06/2018 |