Provider First Line Business Practice Location Address:
952 POST ROAD
Provider Second Line Business Practice Location Address:
FOOT AND ANKLE SURGICAL ASSOC
Provider Business Practice Location Address City Name:
WELLS
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-646-9996
Provider Business Practice Location Address Fax Number:
207-646-9949
Provider Enumeration Date:
01/20/2006