| NPI | 1063646602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEWIS SHUMAN President 207-774-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ME 006809) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |