NPI 1033207303

Mark C Segerstrom, DC

Practitioner Chiropractor Portland, ME

Practice location

Address: 2001 Congress St, Portland, ME 04102-1903
Phone: (207) 879-5433
Fax: (207) 879-5433

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence ME0989216 (ME)

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Registry record

NPI: 1033207303
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.