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Individual

DR. MIA H MARIETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
121 MEDICAL CENTER DRIVE, SUITE 2550, BRUNSWICK, ME 04011-2653
(207) 373-1707
(207) 373-1467
Mailing address
121 MEDICAL CENTER DRIVE, SUITE 2550, BRUNSWICK, ME 04011-2653
(207) 373-1707
(207) 373-1467

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
EC-06-1101
ME

Other

Enumeration date
11/12/2006
Last updated
06/19/2015
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