Individual
TIMOTHY M GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA735
ME
363AM0700X
Medical Physician Assistant
PA735
ME
Other
Enumeration date
08/30/2006
Last updated
02/25/2026
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