| NPI | 1801043716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL FREDRICK LIEBERMANN Member/Physician 207-664-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ME 1858) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |