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Contact Information

DANIEL J DIEKEMA, MD
41 DONALD B DEAN DR
SOUTH PORTLAND, ME04106-3252
 Phone: 207-661-7901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DANIEL J DIEKEMA · (Male)

NPI Number 1104801489
Status Active
Credentials MD
Entity Individual
Enumeration date 12/09/2005
Last updated 09/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 28731
  • ME License # MD14027
  • IA Medicaid 0098376
  • IA Other 47989 WELLMARK BCBS
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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