BRENDAN WALLACE, MD
Urology
Active
Individual
NPI: 1164159257
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Urology | 208800000X | Yes | MD25666 (ME) |
Frequently Asked Questions
NPI 1164159257 is the National Provider Identifier for BRENDAN WALLACE, MD, a Urology provider located in Bangor, ME. This NPI was enumerated on August 8, 2022.
BRENDAN WALLACE, MD practices at 55 BROADWAY, Bangor, ME 04401.
Quick Facts
- NPI
- 1164159257
- Type
- Individual
- Enumerated
- Aug 8, 2022
- Last Updated
- Aug 8, 2022
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