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NPI Code Detail

MEDICARE: DR. MICHAEL ERIK KRAMER PH.D.

MEDICARE: DR. MICHAEL ERIK KRAMER PH.D.
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
1103TC0700XClinical PsychologistPS529ME

General Provider Information

NPI Number : 1205976321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ERIK KRAMER PH.D.
Provider Business Mailing Address
First Line : 57 MACHIGONNE ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-2046
Country : US
Telephone Number : 207-871-7102
Fax Number :
Provider Business Practice Location Address
First Line : 17 SOUTH ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3914
Country : US
Telephone Number : 207-772-0778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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