Individual
MADELEINE R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 945-5247
(207) 992-2154
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401-8600
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI172
ME
Other
Enumeration date
09/02/2006
Last updated
08/27/2008
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