Doctor Name: | MELISSA J STREETER |
NPI Number: | 1790896256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 016266 |
Business Practice Address: | 121 Medical Center Dr Suite 2700 Brunswick, ME - 040112653 |
Business Phone Number: | 2077218700 |
Business Fax Number: | 2077218715 |
Mailing Address: | 121 Medical Center Dr, Suite 2700 BRUNSWICK |
State: | ME |
Postal Code: | 040112653 |
Phone Number: | 2077218700 |
Fax Number: | 2077218715 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 016266 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |