Provider Demographics
NPI:1164757738
Name:MILLS, PAULINE KAREN (MD)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:KAREN
Last Name:MILLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:
Other - Last Name:CENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 BATH RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2606
Mailing Address - Country:US
Mailing Address - Phone:207-798-4400
Mailing Address - Fax:207-798-4452
Practice Address - Street 1:114 BATH RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2606
Practice Address - Country:US
Practice Address - Phone:207-798-4400
Practice Address - Fax:207-798-4452
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0011870208000000X
MEMD20929208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics