Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maine Functional Medicine

Organization Family Medicine Physician · NPI 1427512904

Maine Functional Medicine provides Family Medicine Physician services in Bangor, Maine. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

33 Penn Plz Ste A
Bangor, ME 04401-3619
Phone: (207) 941-0080
Fax: (207) 941-0093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1427512904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Drake — Office Manager · (207) 941-0080
NPI enumeratedJanuary 29, 2019
Last updated in NPPESJanuary 29, 2019
Mailing address33 Penn Plz Ste A, Bangor, ME 04401-3619

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