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Organization
MJW CORPORATION
Active
Organization
MJW CORPORATION
Active
Other names
Windham Chiropractic and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WASOWSKI D.C. (OWNER PRESIDENT)
(207) 892-9001
Entity
Organization
Contact information
Practice address
585 ROOSEVELT TRL, WINDHAM, ME 04062-4908
(207) 892-9001
(207) 892-3228
Mailing address
PO BOX 787, WINDHAM, ME 04062-0787
(207) 892-9001
(207) 892-3228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR646
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043148
ANTHEM
—
01
—
0452064
CIGNA
—
Enumeration date
10/20/2006
Last updated
08/22/2020
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