| NPI | 1033231154 |
|---|---|
| Doing Business As | NORTHERN LIGHT PRIMARY CARE MILO |
| Entity Type | Organization |
| Authorized Contact | MARIE VIENNEAU President 207-564-4251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-04-23 |