Individual
ERIN R VAN WAGENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 HIGH ST STE 302, LEWISTON, ME 04240-7690
(207) 795-5730
(207) 795-5749
Mailing address
12 HIGH ST STE 302, LEWISTON, ME 04240-7690
(207) 795-5730
(207) 795-5749
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD20134
ME
Other
Enumeration date
06/23/2011
Last updated
11/06/2025
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