Organization
SEBAGO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ELENA CHIN DNP, FNP-BC, APRN-CN (CHIEF EXECUTIVE OFFICER)
(207) 595-8756
Entity
Organization
Contact information
Practice address
110 TANDBERG TRL STE G, WINDHAM, ME 04062-5206
(207) 595-8756
Mailing address
31 PUNKIN VALLEY DR, BRIDGTON, ME 04009-3425
(207) 595-8756
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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