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Individual

ROBERT D WARTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD21578
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619903952
ME
Enumeration date
06/25/2006
Last updated
07/21/2022
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