ERIN R VAN WAGENEN

YARMOUTH, ME
NPI1124314513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ME  MD20134)
Enumeration Date2011-06-23
Last Update Date2014-11-05
Business Address
-- ERIN R VAN WAGENEN MD
259 MAIN STREET
YARMOUTH, ME 04096
Phone number: 207-846-9602
Mailing Address
-- ERIN R VAN WAGENEN MD
100 GANNETT DRIVE SUITE C
SOUTH PORTLAND, ME 04106
Phone number: 207-828-0361