Whalio Doctors

NPI 1033777362

John Mladucky, PAC

Practitioner Gastroenterology Physician Lewiston, ME

Practice location

Address
300 Main St, Lewiston, ME 04240-7027
Phone
(207) 795-0111
Mailing address
56 Pennell Ave, Portland, ME 04103-2076

Registered specialties (3)

Gastroenterology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence PA1957 (ME)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence PA1957 (ME)
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence PA1957 (ME)

Registry record

NPI
1033777362
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2019
Record last updated
4 Jan 2024

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.