Individual
TIM MCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
17 SALEM ST, PORTLAND, ME 04102-3913
(207) 699-7558
Mailing address
17 SALEM ST, PORTLAND, ME 04102-3913
(207) 699-7558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT3890
ME
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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