Individual
MS. MELISSA A. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 MEDICAL CENTER DR, SUITE 3100, BRUNSWICK, ME 04011-2653
(207) 729-7939
(207) 725-4717
Mailing address
121 MEDICAL CENTER DR, SUITE 3100, BRUNSWICK, ME 04011-2653
(207) 729-7939
(207) 725-4717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA695
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432043899
—
ME
Enumeration date
03/21/2007
Last updated
02/12/2016
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