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Organization

MARK B WEATHERBEE OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NORLYN M EPP (BUSINESS MANAGER)
(207) 794-2020
Entity
Organization

Contact information

Practice address
26 ENFIELD ROAD, LINCOLN, ME 04457
(207) 794-2020
(207) 794-2020
Mailing address
PO BOX 36, LINCOLN, ME 04457
(207) 794-2020
(207) 794-8288

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT617
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0477200001
DMERC
Enumeration date
05/19/2008
Last updated
05/19/2008
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