Individual
DR. PAMELA JOYCE WANSKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
344 ROUTE 202, BOX 539, GREENE, ME 04236-4208
(207) 946-5444
(207) 946-2544
Mailing address
85 LAKESIDE DR, FALMOUTH, ME 04105-2486
(207) 878-3479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1037
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113760000
—
ME
Enumeration date
07/11/2005
Last updated
12/18/2007
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