Individual
DR. JONAS GRICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 BROADWAY FL 2, BANGOR, ME 04401-5201
(207) 947-0469
(207) 947-5368
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD20071
ME
208800000X
Urology Physician
MD442038
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2008
Last updated
04/02/2020
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