Provider Demographics
NPI:1346315637
Name:BUEHNER, MORGEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:MORGEN
Middle Name:M
Last Name:BUEHNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FODEN RD. , WEST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SO. PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-3134
Mailing Address - Country:US
Mailing Address - Phone:207-828-0361
Mailing Address - Fax:207-874-1483
Practice Address - Street 1:100 FODEN RD., EAST
Practice Address - Street 2:SUITE 203
Practice Address - City:SO. PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-3134
Practice Address - Country:US
Practice Address - Phone:207-874-1489
Practice Address - Fax:207-523-8590
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME018088207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30208706Medicaid
ME434195199Medicaid
NH30208706Medicaid