KENNETH MAISAK

PORTLAND, ME
NPI1710125596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: ME  POD1077)
Enumeration Date2009-02-02
Last Update Date2012-09-05
Business Address
KENNETH MAISAK DPM
68 MARGINAL WAY
PORTLAND, ME 04101-2444
Phone number: 207-879-1339
Mailing Address
KENNETH MAISAK DPM
68 MARGINAL WAY
PORTLAND, ME 04101-2444
Phone number: 207-879-1339
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