Individual
MR. TIMOTHY LEE WAKELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
37 COMMERCE PARK, ELLSWORTH, ME 04605-3383
(207) 667-2422
(207) 667-0135
Mailing address
37 COMMERCE PARK, ELLSWORTH, ME 04605-3383
(207) 667-2422
(207) 667-0135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1167
ME
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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