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Individual

KAREN CALLAHAN WAKEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(509) 833-2767
Mailing address
22 BRAMHALL ST., PORTLAND, ME 04102
(509) 833-2767

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD22388
ME
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2016
Last updated
09/03/2018
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