Wildwood Medicine

NPI 1063671121 - Acupuncturist - 171100000X

NPI Details
NPI 1063671121
Enumeration Date 06/04/2008
Last Updated 09/08/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DANIEL DANIEL
Position PRESIDENT
Phone (207) 347-7132
Fax (207) 839-2197
Practice Location
83 INDIA ST
PORTLAND ME, 04101-4210, US
Phone (207) 347-7132
Fax (207) 839-2197
Business Location
PO BOX 7412
PORTLAND ME, 04112, US
Phone (207) 347-7132
Fax (207) 839-2197
Toxanomy
Taxonomy Code 171100000X
License State Maine
License Number AC281
Remove 1063671121 NPI Number
 

According to our database, Wildwood Medicine NPI is 1063671121, taxonomy code is 171100000X and license number is AC281, license state is located at Maine. Wildwood Medicine physically located at 83 India St, Portland ME, 04101-4210. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063671121 NPI number is provided on an as is basis without warranty of any kind. 1063671121 is maintained by the National Plan & Provider Enumeration System. The contents of Wildwood Medicine are for informational purposes only.