Individual
DR. WILLIAM DEAN JEANBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2816
(207) 662-6783
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2816
(207) 662-6783
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD16127
ME
2084P0805X
Geriatric Psychiatry Physician
Primary
MD16127
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000355
—
NH
Enumeration date
08/17/2006
Last updated
03/13/2025
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