Whalio Doctors

NPI 1083640304

Gary a Keller, MDPHD

Practitioner Surgery Physician Bangor, ME

Practice location

Address
417 State St STE 421, Bangor, ME 04401-6639
Phone
(207) 973-5293
Fax
(207) 973-5263
Mailing address
43 Whiting Hill Rd STE 300, Brewer, ME 04412-1005

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 012479 (ME)

Registry record

NPI
1083640304
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jun 2006
Record last updated
8 Aug 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.