Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | POD1047 | ME |
N | 213ES0103X | Foot & Ankle Surgery | POD1047 | ME |
NPI | 1063419869 |
---|---|
Provider Name | Michele N Kurlanski |
First Address | Scarborough, ME 04074-7701 |
Second Address | Scarborough, ME 04074-7701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 31/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029282000 | (05) | ME |
U71993 | (02) | ME |