IndividualActive
John Stuart, PA-C
NPI 1174895627 · Surgical Physician Assistant · Bangor, ME
Provider details
- NPI number
- 1174895627
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA1318 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
489 State St
Bangor, ME 04401-6616
Phone: (207) 973-7000
Fax: (207) 973-5042
Approximate (ZIP-level) locationGet directions
Mailing address
43 Whiting Hill Rd
Brewer, ME 04412-1005
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2016-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.