Individual
ANNA ROSE GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12 HIGH ST STE 301, LEWISTON, ME 04240-7690
(716) 961-8135
Mailing address
12 HIGH ST STE 301, LEWISTON, ME 04240-7690
(716) 961-8135
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO4095
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
07/03/2025
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