Maine Street Medical Pllc

NPI #1598477887 in Brunswick, Maine

Provider Information

NPI Number: 1598477887
Entity Type: Organization
Organization Name: Maine Street Medical Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Dec 19, 2022
Last Updated: Jun 8, 2023

Practice Location

Address: 8 MASON ST
City: Brunswick
State: Maine
ZIP Code: 04011-1514
Phone: (314) 249-9759

Authorized Official

Name: ANDREAS THYSSEN, MD
Title: CO-OWNER
Phone: (314) 249-9759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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