Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maine Functional Medicine

Organization Family Medicine Physician · NPI 1427512904

Maine Functional Medicine is a Family Medicine Physician in Bangor, Maine. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

33 Penn Plz Ste A
Bangor, ME 04401-3619
Phone: (207) 941-0080
Fax: (207) 941-0093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1427512904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Drake — Office Manager · (207) 941-0080
NPI enumeratedJanuary 29, 2019
Last updated in NPPESJanuary 29, 2019
Mailing address33 Penn Plz Ste A, Bangor, ME 04401-3619

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