Individual
GRETCHEN A. PIANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 PARK AVE STE 1, PORTLAND, ME 04102-2927
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016560
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411940099
—
ME
01
—
P00204198
RAILROAD MEDICARE
ME
Enumeration date
06/21/2006
Last updated
04/02/2025
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