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Individual

DR. BRIAN E HALLOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4 PARK ST, CALAIS, ME 04619
(207) 454-2277
(207) 454-2910
Mailing address
PO BOX 405, 4 PARK ST, CALAIS, ME 04619
(207) 454-2277
(207) 454-2910

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
567TA
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126350000
ME
Enumeration date
08/02/2006
Last updated
02/02/2010
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