Most Relevant Information
Provider Data
| NPI Number: | 1003403353 |
| Provider Name: | JOHN MICHAEL RUTLEDGE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | PA2259 |
Most Important Dates
| Enumeration Date: | 12/21/2020 |
| Last Updated: | 11/08/2021 |
Provider Practice Location
417 STATE STREET
WEBBER WEST SUITE 340
BANGOR
ME
04401
Practice Location Phone/Fax
| Phone: | 2079734949 |
| Fax: | 2079734466 |
Provider Mailing Location
43 WHITING HILL RD STE 300
BREWER
ME
044121006
Provider Mailing Phone/Fax
| Phone: | 2079734949 |
| Fax: | 2079734466 |