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Individual

ALLAN W NYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
316 MAIN ST, WATERVILLE, ME 04901-4921
(207) 873-2683
(207) 873-2683
Mailing address
316 MAIN ST, WATERVILLE, ME 04901-4921
(207) 873-2683
(207) 873-2683

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD136
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000591
ANTHEM BCBS
ME
Enumeration date
08/01/2006
Last updated
07/08/2007
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