Podiatry of Northern Maine

NPI #1598160301 in Houlton, Maine

Provider Information

NPI Number: 1598160301
Entity Type: Organization
Organization Name: Podiatry of Northern Maine
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: 22 NORTH ST
City: Houlton
State: Maine
ZIP Code: 04730-1833
Phone: (207) 532-9790

Authorized Official

Name: J A BEAUPAIN, DPM
Title: SOLE PROPRITITOR
Phone: (207) 532-9790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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