| NPI | 1376573550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA WANDLAND Office Manager 207-363-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-03-04 |