NPI 1073503660 · live from the CMS NPI Registry
Mitchell K Ross, MD
Psychiatry & Neurology, Neurology in Auburn, ME. National Provider Identifier 1073503660, active.
NPI record
| NPI | 1073503660 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 10 Minot Ave, Auburn, ME 04210 |
| Practice phone | 207-795-2927 |
| Enumerated | October 25, 2005 |
| Last updated | March 20, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 12092 (ME) |
| Electrodiagnostic Medicine | 204R00000X | MD12092 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.