NPI 1104919901

Robert Wynne Haeberlein, MD

Practitioner Dermatology Physician Bangor, ME

Practice location

Address: 700 Mount Hope Avenue Suite 601, Bangor, ME 04401-5600
Phone: (207) 942-4653
Fax: (207) 990-4795

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 009794 (ME)

Other Dermatology providers in Maine →

Registry record

NPI: 1104919901
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 22 Jun 2009

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.