BRENDAN WALLACE

BANGOR, ME
NPI1164159257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: ME  MD25666)
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
BRENDAN WALLACE MD
55 BROADWAY
BANGOR, ME 04401-5201
Phone number: 207-947-0469
Mailing Address
BRENDAN WALLACE MD
98 FOUNTAIN ST
BANGOR, ME 04401-3848
Phone number: 613-806-2243