Provider First Line Business Practice Location Address:
489 STATE STREET
Provider Second Line Business Practice Location Address:
EASTERN MAINE MEDICAL CENTER / DEPT. OF NEUROSURGERY
Provider Business Practice Location Address City Name:
BANGOR
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-973-9561
Provider Business Practice Location Address Fax Number:
207-973-9555
Provider Enumeration Date:
05/13/2008