| NPI | 1942309752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE C MARRACHE Owner 207-872-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-09-11 |