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Individual

DR. STEVEN WAYNE BANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10 HIGH ST, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2732
Mailing address
10 HIGH ST, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2732

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2122
ME
208600000X
Surgery Physician
45702
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
434577099
ME
Enumeration date
05/30/2007
Last updated
11/04/2009
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