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DR. WILLARD ALFRED BREDENBERG MD

Physicians Psychiatry & Neurology Psychiatry

Provider NPI: 1962487363

Provider Information:
DR. WILLARD ALFRED BREDENBERG MD
Gender: M

Practice Location:
250 ARSENAL STREET 11 SHS AUGUSTA, ME 04333-0011 US
Tel: 207-624-4657  Fax: 207-287-6123

Business Mailing Address:
339 WEBSTER ST  LEWISTON, ME 04240-5548 US
Tel: 207-784-5251  Fax: --

NPI Information:
NPI: 1962487363
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XPhysicians
Psychiatry & Neurology
Psychiatry
ME008725

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2084P0800X

Type:

Classification:



Definition:



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