Provider Demographics
NPI:1770158149
Name:WIRONEN, JOHN F (PA-C)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:WIRONEN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:180 CHURCH HILL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:ME
Mailing Address - Zip Code:04263-3418
Mailing Address - Country:US
Mailing Address - Phone:207-524-3501
Mailing Address - Fax:207-524-2093
Practice Address - Street 1:180 CHURCH HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:ME
Practice Address - Zip Code:04263-3418
Practice Address - Country:US
Practice Address - Phone:207-524-3501
Practice Address - Fax:207-524-2093
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2025-01-10
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Provider Licenses
StateLicense IDTaxonomies
MEPA2225363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant