# GRETCHEN M SIBLEY, DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780736363
- **Authorized official:** GRETCHEN SIBLEY DO (OWNER AND PROVIDER)
- **Authorized official phone:** (207) 443-2400

## Contact information

- **Practice address:** 915 MAYNE ST, GYPSUM, CO 81637-9756
- **Practice address phone:** (207) 841-5489
- **Mailing address:** 915 MAYNE ST, GYPSUM, CO 81637-9756
- **Mailing address phone:** (207) 841-5489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 12/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 333930000 | — | ME |
| 01 | — | 3552748 | AETNA | ME |
| 01 | — | G39038 | HARVARD PILGRIM | ME |