Organization
AGAPE MEDICAL GROUP
Active
Other names
Wildfire Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
AUTEUM LAKE NP-C (FNP)
(207) 951-0423
Entity
Organization
Contact information
Practice address
46 BETTON ST STE 204, BREWER, ME 04412-2636
(207) 951-0423
(207) 544-5107
Mailing address
203 MANN HILL RD, HOLDEN, ME 04429-6230
(207) 951-0423
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
11/28/2022
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