NPI 1023636503

Dane Wanniarachige, MD

Practitioner Student in an Organized Health Care Education/Training Program Bangor, ME

Practice location

Address: 895 Union St STE 12, Bangor, ME 04401-3054
Phone: (207) 973-7979
Fax: (207) 947-9579
Mailing address: 43 Whiting Hill Rd STE 350, Brewer, ME 04412-1020

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Maine →

Registry record

NPI: 1023636503
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2020
Record last updated: 10 Jul 2020

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.