Dwight Stephen Blease in Brunswick - Foot & Ankle Surgery

Dwight Stephen Blease - NPI 1659465011

Dwight Stephen Blease is a Foot & Ankle Surgery in Brunswick, Maine. Dwight Stephen Blease practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Dwight Stephen Blease is 1659465011. The last update date is 2012-09-06.

Dwight Stephen Blease's current location address is 10 Cushing St, Brunswick, Maine. You can contact this provider via phone number 2077252800 and fax number 2077255953. The mailing address for Dwight Stephen Blease is 10 Cushing St, Brunswick, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Dwight Stephen Blease
Address 10 Cushing St, Brunswick, Maine
Phone Number 2077252800
Fax Number 2077255953
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1659465011
Provider Enumeration Date 2006-10-02
Last Updated Date 2012-09-06

Provider Mailing Address Detail

Address 10 Cushing St
City Brunswick
State Maine (ME)
Post Code 40111801
Phone Number 2077252800
Fax Number 2077255953

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No ME POD 204
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T31402 ME HARVARD
10446440 ME TAX ID #
942 ME ANTHEM

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FAQs about Dwight Stephen Blease

What is the Dwight Stephen Blease's unique identification number?

The Dwight Stephen Blease has been assigned the NPI (National Provider Identifier) Number 1659465011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Dwight Stephen Blease's facilities are situated?

The facilities of Dwight Stephen Blease are physically located at the following address: 10 Cushing St, Brunswick, ME, 40111801.

What is Dwight Stephen Blease's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dwight Stephen Blease is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.

When did the Dwight Stephen Blease receive its 1659465011?

The Dwight Stephen Blease was issued its 1659465011 on 2006-10-02, which is the date when the organization was assigned this unique identifier.

When was the information related to Dwight Stephen Blease most recently updated or refreshed?

The details pertaining to the Dwight Stephen Blease, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-06.

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