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NPI Code Detail

MEDICARE: STEPHEN WILFRED RODRIGUE M.D.

MEDICARE: STEPHEN WILFRED RODRIGUE M.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
1207X00000XOrthopaedic Surgery Physician15049ME

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6200042914OTHERMERAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G64755OTHERMEHARVARD PILGRIM HEALTHSOU
2043319OTHERMEANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
52745463OTHERMEAETNA HMO
7M153272OTHERMECIGNA HEALTHSOURCE
81120990001OTHERMEDMERC
9010507276OTHERMETAX ID
105909591OTHERMEAETNA NON HMO

General Provider Information

NPI Number : 1902851694
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN WILFRED RODRIGUE M.D.
Provider Business Mailing Address
First Line : 20 NORTHBROOK DR
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-1318
Country : US
Telephone Number : 207-781-4424
Fax Number :
Provider Business Practice Location Address
First Line : 20 NORTHBROOK DR
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-1318
Country : US
Telephone Number : 207-781-4424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 07/21/2015

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Directions to “ STEPHEN WILFRED RODRIGUE M.D.” Practice Location

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