Individual
GRANT WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
585 MAIN ST, LEWISTON, ME 04240-5945
(207) 412-5552
Mailing address
585 MAIN ST, LEWISTON, ME 04240-5945
(207) 412-5552
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ME
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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