BRENDAN WALLACE MD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1164159257- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 55 BROADWAY, BANGOR, ME, 044015201
- Phone
- (207) 947-0469
Specialties & Taxonomies
Urology
Primary License: ME #MD25666