| Organization Name: | MEDOMAK VETERINARY SERVICES |
| NPI Number: | 1114350550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE S. HOWARTH (OWNER) |
| Mailing Address: | 14 Atlantic Hwy Waldoboro |
| State: | ME US |
| Postal Code: | 045726014 |
| Phone Number: | 2075637786 |
| Fax Number: | 2075632235 |
| NPI Enumeration Date: | 08/20/2013 |
| NPI Last Update Date: | 08/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |