Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | ME337 | ME |
NPI | 1932280559 |
---|---|
Provider Name | Mr. Carl R Cutshall |
First Address | Bangor, ME 04401-4031 |
Second Address | Bangor, ME 04401-4031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 29/07/2008 |