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Individual

INGRID M SHERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6000
(207) 373-6080
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6000
(207) 373-6080

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-552
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
312480099
ME
01
611454199
GROUP FEDERAL TAX ID
Enumeration date
02/06/2006
Last updated
01/23/2026
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