Walter A Haines, PA-C
Physician Assistant in Waterville, ME. Individual provider (NPI-1).
NPI number1629253141
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1629253141
- Entity type
- Individual (NPI-1)
- Name
- Walter A Haines
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2008
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA001114 | ME | Yes |
Practice location
149 Main StWaterville, ME 04901-6623
Phone 207-872-1715 · Fax 207-872-1725
Mailing address
150 Dresden AveGardiner, ME 04345-2615
Phone 207-621-9337 · Fax 207-621-3609
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All 31 Physician Assistant providers in Waterville · All 1,104 providers in Waterville
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