| NPI | 1962228536 |
|---|---|
| Doing Business As | MAINE STREET INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LEWIS MEHL-MADRONA Owner 808-772-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-28 |
| Last Update Date | 2025-02-21 |