Black Dog Medical PA
Black Dog Medical PA is an Internal Medicine Physician in Lamoine, Maine. Licensed in Maine. Registered with an NPI since 2016.
- Licensed in
- ME
- In the registry since
- 2016
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11 Madison AveLamoine, ME 04605
Phone: (207) 200-1464
Fax: (207) 805-8421
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD14569 (ME) |
|---|
Record details
| NPI number | 1154784668 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Wyshak — Owner · (207) 200-1464 |
| NPI enumerated | April 1, 2016 |
| Last updated in NPPES | April 1, 2016 |
| Mailing address | 11 Madison Avenue, Lamoine, ME 04605 |
Other providers in Lamoine
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Patricia Lynn Wyshak, MD
11 Madison Ave, Lamoine, ME 04605-4495 · (207) 200-1464