Individual
WILLIAM MCFADDEN PETERNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Mailing address
139 TROTTING TRACK RD, WOLFEBORO, NH 03894-4828
(603) 387-4555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2239
ME
207Q00000X
Family Medicine Physician
9404
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE 363402
MEDICARE PTAN:
ME
Enumeration date
08/18/2006
Last updated
01/04/2013
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