NPI 1013190545

Ian Noel Tadeo Don Don S Panuncialman, MD

Practitioner Family Medicine Physician Brewer, ME

Practice location

Address: 234 State St, Brewer, ME 04412-1519
Phone: (207) 989-0550
Fax: (207) 989-0551
Mailing address: 43 Whiting Hill Rd, Brewer, ME 04412-1005

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD20887 (ME)

Other Family Medicine providers in Maine →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 233959 (MA)

Other Orthopaedic Surgery providers in Maine →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013190545
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2007
Record last updated: 9 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.