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Organization
BAY WELLNESS FAMILY CHIROPRACTIC LLC.
Active
Organization
BAY WELLNESS FAMILY CHIROPRACTIC LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PAUL GRIMM D.C. (CHIROPRACTOR, OWNER)
(207) 773-1300
Entity
Organization
Contact information
Practice address
2057 CONGRESS STREET, PORTLAND, ME 04102-1905
(207) 773-1300
Mailing address
2057 CONGRESS ST, PORTLAND, ME 04102-1905
(207) 773-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1759
ME
Other
Enumeration date
11/01/2007
Last updated
08/26/2008
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