| |
735 Wilson St, Brewer, ME 04412-1000 | |
(207) 989-1567 | |
(207) 989-2287 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 735 Wilson St, Brewer, Maine |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447519525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD1081 (Maine) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 945-5247 | 735 Wilson St, Brewer, ME 04412-1000 Ph: (207) 989-1567 |