Individual
DR. MATTHEW WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 930-2639
(207) 338-8368
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 930-2639
(207) 338-8368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T0739
ME
Other
Enumeration date
07/12/2007
Last updated
03/01/2012
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