Meredith Wall, PA-C

NPI #1043435928 in Freeport, Maine

Provider Information

NPI Number: 1043435928
Entity Type: Individual
Name: Meredith Wall, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 16, 2007
Last Updated: Jul 30, 2015

Practice Location

Address: 7 CAMPUS DRIVE
Address 2: INTERMED ONSITE AT LLBEAN
City: Freeport
State: Maine
ZIP Code: 04032
Phone: (207) 552-7453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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