Basic Information
| Provider Information | |||||||||
| NPI: | 1609848258 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | METZGER | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | MD FACS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22 HARTFORD ST | ||||||||
| Address2: | |||||||||
| City: | HOULTON | ||||||||
| State: | ME | ||||||||
| PostalCode: | 047301844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075327936 | ||||||||
| FaxNumber: | 2075327937 | ||||||||
| Practice Location | |||||||||
| Address1: | 22 HARTFORD ST | ||||||||
| Address2: | |||||||||
| City: | HOULTON | ||||||||
| State: | ME | ||||||||
| PostalCode: | 047301844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075327936 | ||||||||
| FaxNumber: | 2075327937 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 007508 | ME | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.