BRIAN WALL

CARIBOU, ME
NPI1902874001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: ME  015015)
Enumeration Date2006-03-14
Last Update Date2011-11-09
Business Address
-- BRIAN WALL M.D.
163 VAN BUREN RD
CARIBOU, ME 04736-3567
Phone number: 207-498-6921
Mailing Address
-- BRIAN WALL M.D.
PO BOX 40
CARIBOU, ME 04736-0040
Phone number: 207-498-2359
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