ROSS ISACKE

PORTLAND, ME
NPI1861753212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ME  DO2510)
Enumeration Date2012-06-01
Last Update Date2017-04-26
Business Address
-- ROSS ISACKE DO
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-7060
Mailing Address
-- ROSS ISACKE DO
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000
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