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Individual

DR. BRAD EDWARD WADDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
417 STATE ST, SUITE 330 WEBBER EAST, BANGOR, ME 04401-6630
(207) 973-8881
(207) 973-8880
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD18032
ME
2086X0206X
Surgical Oncology Physician
15389
SC

Other

Enumeration date
05/27/2006
Last updated
02/28/2014
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