NPI 1659465011

Dwight Stephen Blease, DPM

Practitioner Foot & Ankle Surgery Podiatrist Brunswick, ME

Practice location

Address: 10 Cushing St, Brunswick, ME 04011-1801
Phone: (207) 725-2800
Fax: (207) 725-5953

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence ME POD 204 (ME)

Other Podiatrist providers in Maine →

Sports Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0000X Licence ME POD 204 (ME)

Registry record

NPI: 1659465011
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 6 Sep 2012

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.