Individual
ROBERT WYNNE HAEBERLEIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 MOUNT HOPE AVENUE SUITE 601, BANGOR, ME 04401-5600
(207) 942-4653
(207) 990-4795
Mailing address
700 MOUNT HOPE AVENUE SUITE 601, BANGOR, ME 04401-5600
(207) 942-4653
(207) 990-4795
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
009794
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090000
—
ME
Enumeration date
10/02/2006
Last updated
06/22/2009
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