NPI 1154830420

Autumn Lynn Poulin

Practitioner Physical Medicine & Rehabilitation Physician Bangor, ME

Practice location

Address: 37 Pond St, Bangor, ME 04401-4641
Phone: (207) 945-4334
Mailing address: 20 Nyes Corner Dr, Fairfield, ME 04937-3414

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PA4831 (ME)

Other Physical Medicine & Rehabilitation providers in Maine →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1154830420
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2017
Record last updated: 17 Mar 2018

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.