NPI 1457422529

Mia H Marietta, MD

Practitioner Surgery Physician Brunswick, ME

Practice location

Address: 121 Medical Center Drive Suite 2550, Brunswick, ME 04011-2653
Phone: (207) 373-1707
Fax: (207) 373-1467

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence EC-06-1101 (ME)

Other Surgery providers in Maine →

Registry record

NPI: 1457422529
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2006
Record last updated: 19 Jun 2015

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.