Individual
GABRIELLE INGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
417 STATE STREET, BANGOR, ME 04401
(207) 973-9949
Mailing address
43 WHITING HILL RD, BREWER, ME 04412-1005
(207) 973-5035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1654
ME
363AS0400X
Surgical Physician Assistant
Primary
1654
ME
Other
Enumeration date
10/28/2016
Last updated
12/30/2024
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