Provider Demographics
NPI:1770662405
Name:MCFARLANE, WILLIAM R (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22 BRAMHALL ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3134
Mailing Address - Country:US
Mailing Address - Phone:207-662-2091
Mailing Address - Fax:207-842-6556
Practice Address - Street 1:315 PARK AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2727
Practice Address - Country:US
Practice Address - Phone:207-662-2091
Practice Address - Fax:207-662-6330
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME0134952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM670401Medicare PIN