Organization
DOCKSIDE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCEL PAUL SCHNEE PT (PRESIDENT)
(207) 495-3195
Entity
Organization
Contact information
Practice address
47 MAIN STREET, BELGRADE LAKES, ME 04918-0343
(207) 495-3195
(207) 512-2545
Mailing address
PO BOX 343, BELGRADE LAKES, ME 04918-0343
(207) 495-3195
(207) 512-2545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2624
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099525
BC/BS
ME
01
—
3856197
AETNA
ME
05
—
413180000
—
ME
01
—
5632339
CCN
ME
01
—
8534395
CIGNA
ME
Enumeration date
09/07/2006
Last updated
04/20/2008
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