Wonderlick, Julien

Wonderlick, Julien is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Wonderlick, Julien can be contacted via phone (207) 662-0111.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102
Phone: (207) 662-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD22399 Maine
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD22399 Maine

Profile Details

NPI number 1588930465
LBN Legal business name Wonderlick, Julien
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Jun 7th, 2019 - 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 1588930465 NPPES
Maine MEDICAID 1588930465

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