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Contact Information

WILLARD STITZELL, DO
680 HANCOCK POND RD
SEBAGO, ME04029-3015
 Phone: 207-571-8585
 Fax: 207-513-1069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for WILLARD STITZELL · (Male)

NPI # 1548320971
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/08/2006
Last updated 09/10/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 1148
  • ME Medicaid 166850099
  • NH Medicaid 20001672
  • Other E47521 HARVARD PILGRIM HEALTHCAR
  • ME Other 010847 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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