Well Woman Clinic, Pllc

NPI #1912133943 in Freeport, Maine

Provider Information

NPI Number: 1912133943
Entity Type: Organization
Organization Name: Well Woman Clinic, Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 4, 2009
Last Updated: Nov 8, 2011

Practice Location

Address: 174 S FREEPORT RD
Address 2: SUITE 1A
City: Freeport
State: Maine
ZIP Code: 04032-6145
Phone: (207) 865-7088

Authorized Official

Name: SUSAN M CORBETT
Title: BILLING REPRESENTATIVE
Phone: (207) 497-2996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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