Individual
MS. WENDY BROWN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1053 WESTERN AVENUE, MANCHESTER, ME 04351
(207) 622-4500
(207) 622-5452
Mailing address
1053 WESTERN AVENUE, MANCHESTER, ME 04351
(207) 622-4500
(207) 622-5452
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200
ME
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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