Provider Demographics
NPI:1972790483
Name:SAVERNIK, IRIS (DO)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:SAVERNIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 UNION ST
Mailing Address - Street 2:MEDICINE
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1534
Mailing Address - Country:US
Mailing Address - Phone:207-664-5314
Mailing Address - Fax:207-664-5373
Practice Address - Street 1:50 UNION ST
Practice Address - Street 2:MEDICINE
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1534
Practice Address - Country:US
Practice Address - Phone:207-664-5314
Practice Address - Fax:207-664-5373
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME2151207Q00000X, 208M00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM