IndividualActive
Michael Jaeger
NPI 1194189753 · Pulmonary Disease Physician · South Portland, ME
Provider details
- NPI number
- 1194189753
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
100 Foden Rd Ste 103
South Portland, ME 04106-2327
Phone: (207) 828-1122
Fax: (207) 828-0188
Approximate (ZIP-level) locationGet directions
Mailing address
701 Park Ave
Minneapolis, MN 55415
Additional practice locations (1)
- 96 Campus DriveScarborough, ME 04074Phone: (207) 661-4247
Registry dates
- Enumerated
- 2016-04-11
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.