# STICKMAN DIALYSIS INDUSTRIES

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

## Provider details

- **NPI number:** 1467704411
- **Authorized official:** MR. JEAN CLERMONT (PRESIDENT)
- **Authorized official phone:** (207) 985-1717

## Contact information

- **Practice address:** 2210 PORTLAND RD, ARUNDEL, ME 04046-7930
- **Practice address phone:** (207) 985-1717
- **Practice address fax:** (207) 985-1718
- **Mailing address:** PO BOX 415, KENNEBUNK, ME 04043-0415
- **Mailing address phone:** (207) 985-1717
- **Mailing address fax:** (207) 985-1718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012