Organization
MICMAC HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ESPLING (BUSINESS OFFICE MANAGER)
(207) 764-7219
Entity
Organization
Contact information
Practice address
8 NORTHERN RD, PRESQUE ISLE, ME 04769-2040
(207) 764-7219
(207) 762-4781
Mailing address
8 NORTHERN RD, PRESQUE ISLE, ME 04769-2040
(207) 764-7219
(207) 764-7768
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124390000
—
ME
Enumeration date
04/11/2007
Last updated
12/10/2019
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