# BRUNSWICK OSTEOPATHY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326541616
- **Authorized official:** DEIRDRE HEERSINK DO (OWNER)
- **Authorized official phone:** (207) 222-3024

## Contact information

- **Practice address:** 85 BARIBEAU DR, BRUNSWICK, ME 04011-3249
- **Practice address phone:** (207) 222-3024
- **Practice address fax:** (207) 222-3024
- **Mailing address:** PO BOX 691, BRUNSWICK, ME 04011-0691
- **Mailing address phone:** (207) 222-3024
- **Mailing address fax:** (207) 222-3024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2018
- **Last updated:** 03/13/2018
