Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 19281 | AL |
NPI | 1043267396 |
---|---|
Provider Name | Miguel R Arguedas - Brollo |
First Address | Brunswick, ME 04011-2653 |
Second Address | Brunswick, ME 04011-2653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 05/02/2016 |