Organization
GREGORY PENNER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PENNER MD (OWNER AND PROVIDER)
(207) 721-0911
Entity
Organization
Contact information
Practice address
331 MAINE ST, SUITE 4, BRUNSWICK, ME 04011-3358
(207) 721-0911
(207) 721-9729
Mailing address
331 MAINE ST, SUITE 4, BRUNSWICK, ME 04011-3358
(207) 721-0911
(207) 721-9729
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
04/10/2008
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