person
Paul Ouellette, PA
Medical Physician Assistant in Bangor, Maine
NPI 1811931520

Paul Ouellette is a Medical Physician Assistant based in Lewiston, ME and is specialized in Medical. Paul Ouellette practices in Bangor, ME and has the professional credentials of PA. The NPI Number for Paul Ouellette is 1811931520 and holds a License No. PA387 (Maine).

The current practice location address for Paul Ouellette is 360 Broadway, Bangor, ME and can be reached out via phone at 207-907-3000 and via fax at 207-907-1921. You can also correspond with Paul Ouellette through the mailing address at C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, LEWISTON, ME - 04243-7291 (mailing address contact number: 207-777-8560).

Location: 360 Broadway, Bangor, ME, 04243-7291
person
Provider Profile Details
NPI Number
1811931520
Provider Name
Paul Ouellette
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
360 Broadway, Bangor, ME, 04243-7291
Phone Number
207-907-3000
Fax Number
207-907-1921
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
281070099 05 ME
institution
Provider Business Practice Location Address Details
Address
360 Broadway
City
State
Zip
04401-3979
Phone Number
207-907-3000
Fax Number
207-907-1921
person
Provider Business Mailing Address Details
Address
360 Broadway
City
State
Zip
04401-3979
Phone Number
207-907-3000
Fax Number
207-907-1921
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA387 (Maine)
Definition
Definition to come...
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