Wadland, William R

Wadland, William R is an individual health care provider with primary practice located at 331 Veranda St , Portland ME 04103-5545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Wadland, William R can be contacted via phone (207) 828-2402.

Contact Information

Primary practice address
331 Veranda St Portland ME 04103-5545
Phone: (207) 828-2402
Fax: (207) 828-2425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 017302 Maine
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 017302 Maine

Profile Details

NPI number 1154499002
LBN Legal business name Wadland, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154499002 NPPES
Maine MEDICAID 1154499002

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