Individual
MEGAN R WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 PARK AVE STE 1, PORTLAND, ME 04102-2927
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 761-3738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125063557
IL
207Q00000X
Family Medicine Physician
Primary
MD21755
ME
Other
Enumeration date
04/24/2013
Last updated
04/02/2025
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