Provider First Line Business Practice Location Address:
45 HERRICK RD
Provider Second Line Business Practice Location Address:
SOUTHWEST HARBOR MEDICAL CENTER
Provider Business Practice Location Address City Name:
SOUTHWEST HARBOR
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04679-4433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-244-5513
Provider Business Practice Location Address Fax Number:
207-244-5515
Provider Enumeration Date:
05/31/2006