BLACK DOG MEDICAL PA

LAMOINE, ME
NPI1154784668
Entity TypeOrganization
Authorized ContactPATRICIA WYSHAK
Owner
207-200-1464
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ME  MD14569)
Enumeration Date2016-04-01
Last Update Date2016-04-01
Business Address
BLACK DOG MEDICAL PA
11 MADISON AVENUE
LAMOINE, ME 04605
Phone number: 207-200-1464
Mailing Address
BLACK DOG MEDICAL PA
11 MADISON AVENUE
LAMOINE, ME 04605
Phone number: 207-200-1464
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PATRICIA LYNN WYSHAK