| Doctor Name: | ROBERT CLEAVELAND |
| NPI Number: | 1518350610 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | PA1510 |
| Business Practice Address: | 50 Summer St Millinocket, ME - 044621400 |
| Business Phone Number: | 2077236551 |
| Business Fax Number: | 2075282595 |
| Mailing Address: | Po Box 500, PATTEN |
| State: | ME |
| Postal Code: | 047650500 |
| Phone Number: | 2075282285 |
| Fax Number: | 2075282595 |
| NPI Enumeration Date: | 03/13/2015 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |