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Contact Information

BRAD E WADDELL, MD
417 STATE ST
SUITE 330 WEBBER EAST
BANGOR, ME04401-6630
 Phone: 207-973-8881
 Fax: 207-973-8880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRAD E WADDELL · (Male)

NPI Number 1194772061
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2006
Last updated 02/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD18032
  • SC License # 15389
Hospital affiliation(s)
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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