Individual
MARISA CHRISTINE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 BROADWAY, BANGOR, ME 04401-5201
(207) 947-0469
Mailing address
6 SOPHIE LN, HAMPDEN, ME 04444-1745
(919) 210-9595
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD24837
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2016
Last updated
09/21/2021
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