Individual
DR. MARTIN FRANCIS WESOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
575 MAIN ST, GORHAM, ME 04038-1339
(207) 839-2559
(207) 523-1135
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
(207) 828-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2252
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437487121
—
ME
Enumeration date
11/18/2009
Last updated
09/23/2020
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