Individual
MARTHA D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
22 HARTFORD ST, HOULTON, ME 04730-1844
(207) 532-3289
(207) 532-6071
Mailing address
22 HARTFORD ST, HOULTON, ME 04730-1844
(207) 532-3289
(207) 532-6071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1517
ME
Other
Enumeration date
02/07/2006
Last updated
04/28/2017
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