Search › Maine › 213ES0103X
Kenneth Maisak, DPM
NPI 1710125596 · on the registry since 2009
Practice
- Address
- 68 Marginal Way
Portland, ME 04101 - Phone
- (207) 879-1339
- Fax
- (207) 879-1092
- Organisation at this address
- Portland Foot & Ankle, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine