Healthcare Provider Details

I. General information

NPI: 1023278272
Provider Name (Legal Business Name): KARIN M DOEHNE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN M WEIDENHAMMER

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 11/17/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MARGINAL WAY
PORTLAND ME
04101-2467
US

IV. Provider business mailing address

360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH NH
03801-7105
US

V. Phone/Fax

Practice location:
  • Phone: 207-544-9355
  • Fax:
Mailing address:
  • Phone: 603-410-6700
  • Fax: 603-319-8308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD018874
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD18874
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: