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Individual

GENE GRINDLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
887 CONGRESS ST, SUITE 210, PORTLAND, ME 04102-3100
(207) 774-2544
(207) 774-0459
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
015141
ME
2086S0102X
Surgical Critical Care Physician
015141
ME
2086S0127X
Trauma Surgery Physician
Primary
015141
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296620099
ME
Enumeration date
12/29/2006
Last updated
01/10/2011
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