Provider Demographics
NPI:1447719471
Name:KLEPACK, MARGARET (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:KLEPACK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CAPE JELLISON RD
Mailing Address - Street 2:
Mailing Address - City:STOCKTON SPRINGS
Mailing Address - State:ME
Mailing Address - Zip Code:04981-4349
Mailing Address - Country:US
Mailing Address - Phone:207-567-4000
Mailing Address - Fax:
Practice Address - Street 1:11 CAPE JELLISON RD
Practice Address - Street 2:
Practice Address - City:STOCKTON SPRINGS
Practice Address - State:ME
Practice Address - Zip Code:04981-4349
Practice Address - Country:US
Practice Address - Phone:207-567-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD25790207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine