Individual
DR. MARK C SEGERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2001 CONGRESS ST, PORTLAND, ME 04102-1903
(207) 879-5433
(207) 879-5433
Mailing address
2001 CONGRESS ST, PORTLAND, ME 04102-1903
(207) 879-5433
(207) 879-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
ME0989216
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017234
ANTHEM BCBSME ID
ME
01
—
1041785
AETNA HEALTHCARE PIN
ME
Enumeration date
10/11/2006
Last updated
07/09/2007
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