Doctor Name: | DR. PARIS TAYLOR MANSMANN |
NPI Number: | 1326138587 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 015387 |
Business Practice Address: | 10 Forest Falls Dr Shearwater Allergy Suite 9b Yarmouth, ME - 040962298 |
Business Phone Number: | 2078467676 |
Business Fax Number: | |
Mailing Address: | 10 Forest Falls Drive, Unit 10a, NORTH YARMOUTH |
State: | ME |
Postal Code: | 04097 |
Phone Number: | 2078295337 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KI0005X |
License Number: | 015387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Clinical & Laboratory Immunology |
Taxonomy Definition: |