Individual provider · Type 1 NPI

John Michael Stuart, PA-C

Surgical Physician Assistant · Bangor, ME

NPI number 1174895627 Active

Practice location

489 State St
Bangor, ME 04401-6616

Fax (207) 973-5042

Mailing address

43 Whiting Hill Rd, Ste 300
Brewer, ME 04412-1005

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA1318 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1174895627

John Michael Stuart, PA-C's National Provider Identifier is 1174895627, issued on Jan 30, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bangor, ME. The record was last updated on Dec 15, 2016.