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Individual

HEIDI R WIERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22 BRAMHALL ST., PORTLAND, ME 04102
(207) 662-2875
(207) 662-6055
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD15844
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30208126
NH
05
431649899
ME
Enumeration date
10/02/2006
Last updated
08/15/2012
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