Individual
ALFRED S WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
50 E MAIN ST, HARRINGTON, ME 04643-3043
(207) 483-4502
(207) 483-4778
Mailing address
PO BOX 82, HARRINGTON, ME 04643-0082
(207) 483-4502
(207) 483-4778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-522
ME
Other
Enumeration date
05/18/2006
Last updated
04/14/2008
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