NPI 1164159257

Brendan Wallace, MD

Practitioner Urology Physician Bangor, ME

Practice location

Address: 55 Broadway, Bangor, ME 04401-5201
Phone: (207) 947-0469
Mailing address: 98 Fountain St, Bangor, ME 04401-3848

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD25666 (ME)

Other Urology providers in Maine →

Registry record

NPI: 1164159257
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2022
Record last updated: 8 Aug 2022

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.