| NPI | 1508475724 |
|---|---|
| Doing Business As | CLAUDIA WINDGRAD HEISE |
| Entity Type | Organization |
| Authorized Contact | CLAUDIA W HEISE Owner 207-846-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |