NPI 1407897614

Shannon Marie Meredith, DPM

Practitioner Podiatrist Portland, ME

Practice location

Address: 195 Fore River Pkwy Suite 210, Portland, ME 04102-2780
Phone: (207) 553-6682
Fax: (207) 553-6681
Mailing address: 144 State St, Portland, ME 04101-3776

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1000 (ME)

Other Podiatrist providers in Maine →

Registry record

NPI: 1407897614
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2006
Record last updated: 18 Aug 2008

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.