Individual
THOMAS WILLERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1385 CONGRESS ST, PORTLAND, ME 04102-2120
(207) 874-2225
(207) 874-2225
Mailing address
1385 CONGRESS ST, PORTLAND, ME 04102-2120
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
CR859
ME
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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