SearchMaineUrology Physician

Brendan Wallace, MD

NPI 1164159257 · on the registry since 2022 · sole proprietor

Practice

Address
55 Broadway
Bangor, ME 04401
Phone
(207) 947-0469
Organisation at this address
Physicians Specialists Surgery Center Of Maine Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
Urology Physician
208800000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine