Robert Wynne Haeberlein JR. MD

NPI 1104919901 - Dermatology - 207N00000X

NPI Details
NPI 1104919901
Gender Male
Enumeration Date 10/02/2006
Last Updated 06/22/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
700 MOUNT HOPE AVENUE SUITE 601
BANGOR ME, 04401-5600, US
Phone (207) 942-4653
Fax (207) 990-4795
Business Location
700 MOUNT HOPE AVENUE SUITE 601
BANGOR ME, 04401-5600, US
Phone (207) 942-4653
Fax (207) 990-4795
Toxanomy
Taxonomy Code 207N00000X
License State Maine
License Number 009794
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According to our database, Robert Wynne Haeberlein JR. MD NPI is 1104919901, taxonomy code is 207N00000X and license number is 009794, license state is located at Maine. Robert Wynne Haeberlein JR. MD physically located at 700 Mount Hope Avenue Suite 601, Bangor ME, 04401-5600. NPI Number Robert Wynne Haeberlein JR. MD has the Individual type.

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1104919901 NPI number is provided on an as is basis without warranty of any kind. 1104919901 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Wynne Haeberlein JR. MD are for informational purposes only.