Individual
FERNALD TIMOTHY GARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA314
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00004586
RAILROAD MEDICARE
ME
Enumeration date
08/08/2006
Last updated
07/08/2007
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