Individual
GAIGE FLEWELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4000
Mailing address
70 GRIFFIN RIDGE RD, MAPLETON, ME 04757-4401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN66205
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA213054
ME
Other
Enumeration date
06/28/2021
Last updated
09/08/2021
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