Individual
DR. JANIS BACON PETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 SECOND ST, SUITE 1, HALLOWELL, ME 04347-1331
(207) 242-4007
Mailing address
165 SECOND ST, HALLOWELL, ME 04347-1130
(207) 242-4007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
015653
ME
2084P0800X
Psychiatry Physician
MD60650723
WA
2084P0805X
Geriatric Psychiatry Physician
015653
ME
Other
Enumeration date
07/18/2006
Last updated
09/26/2016
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