Male or Other

Dr. David A. Branch M.D.

Specialist in Bangor, ME(View on Map)

Full Name

Dr. David A Branch M.D.

NPI Number

1346337151

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/05/2006

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

015284

Contact
Information

Purpose

Mailing
Location

Address

55 BROADWAY
55 BROADWAY

City

Bangor
Bangor

State

ME
ME

Postal Code

04401-5201
04401-5201

Country

US
US

Telephone Number

(207) 947-5657
(207) 947-5657

Identifiers

Identifier

163590099

Identifier State

ME

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/18/2012

Provider Address

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