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1902291446
HEIDI WALLS
PORTLAND, ME
NPI
1902291446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: ME MD22437)
Enumeration Date
2015-04-01
Last Update Date
2021-03-31
Business Address
HEIDI WALLS M.D.
331 VERANDA ST
PORTLAND, ME 04103-5545
Phone number: 207-828-2402
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Mailing Address
HEIDI WALLS M.D.
PO BOX 9746
PORTLAND, ME 04104-5040
Phone number:
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