Organization
WELLSPRING FAMILY MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R SHOLL MD (OWNER AND PROVIDER)
(207) 282-3369
Entity
Organization
Contact information
Practice address
4 WELLSPRING RD, BIDDEFORD, ME 04005-9401
(207) 282-3369
(207) 282-9920
Mailing address
4 WELLSPRING RD, BIDDEFORD, ME 04005-9401
(207) 282-3369
(207) 282-9920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008890
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044626
AETNA
ME
01
—
666575
TUFTS
ME
01
—
M158
CIGNA
ME
Enumeration date
11/08/2006
Last updated
04/10/2008
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