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Organization
FOOT & ANKLE CENTER OF SOUTHERN MAINE
Active
Organization
FOOT & ANKLE CENTER OF SOUTHERN MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICCA DPM (OWNER AND PROVIDER)
(207) 985-9888
Entity
Organization
Contact information
Practice address
75 PORTLAND RD, KENNEBUNK, ME 04043-6602
(207) 985-9888
(207) 985-3488
Mailing address
75 PORTLAND RD, KENNEBUNK, ME 04043-6602
(207) 985-9888
(207) 985-3488
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
04/10/2008
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