Internal Medicine
BLACK DOG MEDICAL PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1154784668 · enumerated 2016-04-01 · record updated 2016-04-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: PATRICIA WYSHAK MD, Owner · (207) 200-1464
Addresses and phones
- Mailing address 11 MADISON AVENUE, LAMOINE, ME, 04605 (207) 200-1464 Fax (207) 805-8421 Google Maps Apple Maps OpenStreetMap
- Practice location 11 MADISON AVENUE, LAMOINE, ME, 04605 (207) 200-1464 Fax (207) 805-8421 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License MD14569 ME
In this directory
Locations and evidence
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Practice location
LAMOINE, ME, 04605
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.