THEODORE R WISSINK

PORTLAND, ME
NPI1124193503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  017817)
Enumeration Date2006-11-21
Last Update Date2010-02-11
Business Address
Dr. THEODORE R WISSINK MD
272 CONGRESS ST
PORTLAND, ME 04101
Phone number: 207-874-2466
Mailing Address
Dr. THEODORE R WISSINK MD
39 WALLACE AVE
SO PORTLAND, ME 04106-6143
Phone number: 207-761-0650
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