| Mr Dustin R Sulak, DO | |
|
964 Western Ave., Manchester, ME 04351 | |
| (207) 512-8633 | |
| Not Available |
| Full Name | Mr Dustin R Sulak |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 964 Western Ave., Manchester, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427212059 | NPI | - | NPPES |
| 433021499 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | T0861 (Maine) | Secondary |
| 207Q00000X | Family Medicine | DO2142 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dustin R Sulak, DO 170 U.s. Route 1, Suite 200, Falmouth, ME 04105 Ph: (207) 482-0188 | Mr Dustin R Sulak, DO 964 Western Ave., Manchester, ME 04351 Ph: (207) 512-8633 |
Mr. Peter J Volk, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23 Bowdoin Street, Manchester, ME 04351 Phone: 207-629-5522 Fax: 207-512-8793 | |
Laura P Caron, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 23 Bowdoin St, Manchester, ME 04351 Phone: 207-629-5522 Fax: 207-512-8793 |