Doctor Name: | ERIN H MANSMANN |
NPI Number: | 1710271408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | LT12313 |
Business Practice Address: | 10 Forest Falls Dr Yarmouth, ME - 040966936 |
Business Phone Number: | 2078467676 |
Business Fax Number: | |
Mailing Address: | Po Box 1298, 10 Forest Falls Drive YARMOUTH |
State: | ME |
Postal Code: | 040962298 |
Phone Number: | 2078467676 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2011 |
NPI Last Update Date: | 11/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | LT12313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |