Individual
JARRYD ROSSIGNOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
66 SPRUCE ST STE 4, PRESQUE ISLE, ME 04769-3241
(207) 769-2025
(207) 764-0629
Mailing address
PO BOX 40, CARIBOU, ME 04736-0040
(207) 498-1124
(207) 493-5340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2904
ME
390200000X
Student in an Organized Health Care Education/Training Program
MED-RES.LIC 52134
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14482470
CAQH PROVIDER NO.
—
Enumeration date
05/04/2016
Last updated
03/07/2023
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