Provider Demographics
NPI:1538120605
Name:DUVEFELT, HANS L (MD)
Entity type:Individual
Prefix:
First Name:HANS
Middle Name:L
Last Name:DUVEFELT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-2601
Mailing Address - Country:US
Mailing Address - Phone:207-249-6959
Mailing Address - Fax:
Practice Address - Street 1:436 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2601
Practice Address - Country:US
Practice Address - Phone:207-249-6959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME011578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME260920099Medicaid
MEB86621Medicare UPIN
ME015502Medicare PIN