Organization
MAINE OSTEOPATHIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE W COLLINS D.O. (PHYSICIAN/OWNER)
(207) 747-4455
Entity
Organization
Contact information
Practice address
146 OCEAN ST, SUITE 2, SOUTH PORTLAND, ME 04106-3664
(207) 747-4455
(888) 907-5762
Mailing address
PO BOX 2293, SOUTH PORTLAND, ME 04116-2293
(207) 747-4455
(888) 907-5762
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1663
ME
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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