person
Dwight Stephen Blease, DPM
Foot & Ankle Surgery Podiatrist in Brunswick, Maine
NPI 1659465011

Dwight Stephen Blease is a Foot & Ankle Surgery Podiatrist based in Brunswick, ME and is specialized in Foot & Ankle Surgery. Dwight Stephen Blease practices in Brunswick, ME and has the professional credentials of DPM. The NPI Number for Dwight Stephen Blease is 1659465011 and holds a License No. ME POD 204 (Maine).

The current practice location address for Dwight Stephen Blease is 10 Cushing St, Brunswick, ME and can be reached out via phone at 207-725-2800 and via fax at 207-725-5953. You can also correspond with Dwight Stephen Blease through the mailing address at 10 CUSHING ST, BRUNSWICK, ME - 04011-1801 (mailing address contact number: 207-725-2800).

Location: 10 Cushing St, Brunswick, ME, 04011-1801
person
Provider Profile Details
NPI Number
1659465011
Provider Name
Dwight Stephen Blease
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10 Cushing St, Brunswick, ME, 04011-1801
Phone Number
207-725-2800
Fax Number
207-725-5953
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T31402 01 ME HARVARD
010446440 01 ME TAX ID #
000942 01 ME ANTHEM
institution
Provider Business Practice Location Address Details
Address
10 Cushing St
City
State
Zip
04011-1801
Phone Number
207-725-2800
Fax Number
207-725-5953
person
Provider Business Mailing Address Details
Address
10 Cushing St
City
State
Zip
04011-1801
Phone Number
207-725-2800
Fax Number
207-725-5953
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
ME POD 204 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
ME POD 204 (Maine)
Definition
Definition to come...
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