| Doctor Name: | IRA W. STOCKWELL |
| NPI Number: | 1609812551 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 847 |
| Business Practice Address: | 2 Chabot St Westbrook, ME - 040924817 |
| Business Phone Number: | 2078579311 |
| Business Fax Number: | 2078579324 |
| Mailing Address: | 2 Chabot St, Ste 2 WESTBROOK |
| State: | ME |
| Postal Code: | 040924815 |
| Phone Number: | 2078579311 |
| Fax Number: | 2078579324 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 847 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |