NPI 1023147733

Michael L Buzzell, LMT

Practitioner Contractor Portland, ME

Practice location

Address: 94 Auburn St, Portland, ME 04103-2141
Phone: (207) 776-0182
Fax: (207) 797-7029

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MT3310 (ME)

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Registry record

NPI: 1023147733
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.