Foot & Ankle Center of Southern Maine

NPI #1184775447 in Kennebunk, Maine

Provider Information

NPI Number: 1184775447
Entity Type: Organization
Organization Name: Foot & Ankle Center of Southern Maine
Primary Specialty: Podiatrist
Enumeration Date: Jan 15, 2007
Last Updated: Apr 10, 2008

Practice Location

Address: 75 PORTLAND RD
City: Kennebunk
State: Maine
ZIP Code: 04043-6602
Phone: (207) 985-9888

Authorized Official

Name: DAVID MICCA, DPM
Title: OWNER AND PROVIDER
Phone: (207) 985-9888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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