| NPI | 1982753307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D BLAKE Partner 207-856-6792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-10-06 |