IndividualActive
Stacey Anderson, MD
NPI 1710990775 · General Practice Physician · Madison, ME
Provider details
- NPI number
- 1710990775
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD22365 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8 S Main St
Madison, ME 04950-4501
Phone: (207) 696-3992
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 727
Waterville, ME 04903-0727
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.