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Ian Noel Tadeo Don Panuncialman, M.D

NPI 1013190545 · on the registry since 2007 · sole proprietor

Practice

Address
234 State St
Brewer, ME 04412
Phone
(207) 989-0550
Fax
(207) 989-0551
Clinicians at this address
13

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207X00000X
390200000X
Licence states on file
MA, ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine