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Organization

MAINE MOLECULAR IMAGING, LLC

Active
Other names
Maine Molecular Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
RAMONA L AHERN (SPECIAL ASSISTANT SECRETARY)
(952) 738-4441
Entity
Organization

Contact information

Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 883-1285
(207) 883-3813
Mailing address
5775 WAYZATA BLVD, SUITE 400, ST LOUIS PARK, MN 55416-1222
(952) 525-6338
(952) 905-5697

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
01/30/2017
Last updated
08/26/2019
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