NPI 1104006410

Margarett J Rounsavall

Practitioner Specialist Portland, ME

Practice location

Address: 90 Brackett St 1, Portland, ME 04102-3823
Phone: (207) 772-1074

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MT3356 (ME)

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Registry record

NPI: 1104006410
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2007
Record last updated: 5 Nov 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.