GLENN D PRENTICE

PORTLAND, ME
NPI1972513745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ME  MD14153)
Enumeration Date2006-08-08
Last Update Date2014-11-26
Business Address
-- GLENN D PRENTICE MD
66 BRAMHALL ST
PORTLAND, ME 04102-3344
Phone number: 207-662-3183
Mailing Address
-- GLENN D PRENTICE MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-3183