| NPI | 1073790184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A. MCCANN Secretary 207-942-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: ME POD135) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-03-03 |