Individual
MR. WAYNE ANTHONY HEATH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
152 DRESDEN AVE, GARDINER, ME 04345-2615
(207) 582-6608
Mailing address
184 TOWN FARM RD, NEW GLOUCESTER, ME 04260-4432
(207) 926-4488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1725
ME
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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