Individual
TERI JEAN SCHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
12 HIGH ST, STE. 301, LEWISTON, ME 04240-7676
(207) 795-5730
(207) 795-5749
Mailing address
12 HIGH ST, STE. 301, LEWISTON, ME 04240-7676
(207) 795-5730
(207) 795-5749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA441
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295290099
—
ME
Enumeration date
09/20/2005
Last updated
09/17/2012
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