Organization
MAINE STREET MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREAS THYSSEN MD (CO-OWNER)
(314) 249-9759
Entity
Organization
Contact information
Practice address
8 MASON ST, BRUNSWICK, ME 04011-1514
(314) 249-9759
Mailing address
22 DIONNE CIR, BRUNSWICK, ME 04011-3211
(314) 249-9759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
12/19/2022
Last updated
06/08/2023
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