Provider Demographics
NPI:1760618862
Name:MACNUTT, JAMES M (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:MACNUTT
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Gender:M
Credentials:DO
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Mailing Address - Street 1:43 WHITING HILL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1006
Mailing Address - Country:US
Mailing Address - Phone:207-973-5000
Mailing Address - Fax:207-973-5042
Practice Address - Street 1:417 STATE STREET
Practice Address - Street 2:WEBBER EAST BUILDING SUITE 221
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401
Practice Address - Country:US
Practice Address - Phone:207-973-9949
Practice Address - Fax:207-973-9555
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2020-08-20
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Provider Licenses
StateLicense IDTaxonomies
MEDO2118207T00000X
MN53946207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery