Provider Demographics
NPI:1184713471
Name:MESERVE, CHRISTOPHER W (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:W
Last Name:MESERVE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 WELLNESS WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1768
Mailing Address - Country:US
Mailing Address - Phone:207-406-7600
Mailing Address - Fax:207-406-7601
Practice Address - Street 1:1 WELLNESS WAY
Practice Address - Street 2:SUITE A
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1768
Practice Address - Country:US
Practice Address - Phone:207-406-7600
Practice Address - Fax:207-406-7601
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2015-01-22
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Provider Licenses
StateLicense IDTaxonomies
NY221291207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEI02179Medicare UPIN