Organization
NORTHSTAR WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER S FOURNIER (BAA)
(207) 376-5405
Entity
Organization
Contact information
Practice address
79 MAIN ST FL 3, AUBURN, ME 04210-5811
(207) 222-3023
(888) 594-2351
Mailing address
PO BOX 571, SABATTUS, ME 04280-0571
(207) 376-5405
(207) 375-5165
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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