Individual
DR. WILLIAM R WADLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
(207) 828-2425
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
(207) 828-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
017302
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
017302
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154499002
—
ME
Enumeration date
11/30/2006
Last updated
10/01/2020
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