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Individual

WAYNE ANDRADE HENRY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Mailing address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
EC201008
ME
363AS0400X
Surgical Physician Assistant
011016-1
NY

Other

Enumeration date
05/20/2006
Last updated
03/11/2021
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