MEDICARE: WALTER DOERFLER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	1774	ME

General Provider Information

NPI Number	:	1043252430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER DOERFLER D.O.

Provider Business Mailing Address
First Line	:	15 MIDDLE ST
Second Line	:
City	:	ORONO
State	:	ME
Zip	:	04473-4030
Country	:	US
Telephone Number	:	207-866-4688
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 KELLEY RD
Second Line	:
City	:	ORONO
State	:	ME
Zip	:	04473-3416
Country	:	US
Telephone Number	:	207-866-4399
Fax Number	:	207-866-4538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	07/08/2007

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Directions to “ WALTER DOERFLER D.O.” Practice Location

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