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Organization

ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA

Active
Other names
OA Centers for Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JOHN WIPFLER (OFFICER)
(207) 828-2100
Entity
Organization

Contact information

Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
(207) 828-2190
Mailing address
PO BOX 1260, PORTLAND, ME 04104-1260
(207) 828-2100
(207) 828-2190

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109040000
ME
Enumeration date
09/01/2005
Last updated
10/12/2011
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