Individual
DR. PHILIP RALPH POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
166 SILVER ST, WATERVILLE, ME 04901-5815
(207) 873-3500
(207) 873-6167
Mailing address
166 SILVER ST, WATERVILLE, ME 04901-5815
(207) 873-3500
(207) 873-6167
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT712
ME
Other
Enumeration date
05/31/2005
Last updated
04/11/2012
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