Individual
DR. MARK S WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1200 BROADWAY, SOUTH PORTLAND, ME 04106-5652
(207) 799-2263
Mailing address
1200 BROADWAY, SOUTH PORTLAND, ME 04106-5652
(207) 799-2263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
874
ME
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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