Individual
TERESA TOLSON MALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
302 HUSSON AVE, BANGOR, ME 04401
(207) 941-1155
Mailing address
45 LINDEN ST, BANGOR, ME 04401-3440
(207) 945-3843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015597
ME
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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