Individual
DR. WAYNE ROBERT WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
417 STATE ST, SUITE 221, BANGOR, ME 04401-6630
(207) 973-9949
(207) 973-9555
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
DO2140
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013050100001
—
PA
01
—
1092089
AETNA HMO
PA
01
—
1562320
CIGNA
PA
01
—
1736339
BLUE SHIELD
PA
01
—
2403288000
KEYSTONE HEALTH PLAN EAST
PA
01
—
30025514
KMHP
PA
01
—
7414717
AETNA PPO
PA
Enumeration date
07/14/2005
Last updated
04/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us