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Individual

JON M HALTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2911
(207) 662-6006
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2911
(207) 662-6006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-792
ME
363A00000X
Physician Assistant
Primary
PA792
ME

Other

Enumeration date
10/31/2006
Last updated
03/31/2026
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