Individual
AMY GRZYSIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(072) 828-2402
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2232
ME
Other
Enumeration date
06/11/2008
Last updated
03/01/2023
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