Individual
MACKENZIE IRELAND DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 874-2141
Mailing address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 874-2141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2920
ME
Other
Enumeration date
09/19/2023
Last updated
08/28/2025
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