NPI 1558443010

Mark J Wasowski, DC

Practitioner Chiropractor Windham, ME

Practice location

Address: 584 Roosevelt Trl, Windham, ME 04062-7302
Phone: (207) 892-9001
Mailing address: PO Box 787, Windham, ME 04062-0787

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CR646 (ME)

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Registry record

NPI: 1558443010
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2006
Record last updated: 3 Sep 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.