Individual
MIKE PAINTSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 HATIKVA WAY, NORTH CHELMSFORD, MA 01863-2333
(978) 677-1867
Mailing address
12 HATIKVA WAY, NORTH CHELMSFORD, MA 01863-2333
(978) 677-1867
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S90514904
MA
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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