Search › Maine › 183700000X
Ethan Gagnon
NPI 1942983184 · on the registry since 2023
Practice
- Address
- 125 Topsham Fair Mall Rd
Topsham, ME 04086 - Phone
- (207) 504-5051
- Fax
- (207) 504-5396
- Organisation at this address
- Cvs State Capital Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-14
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