Individual
DR. CHELSEY MARIE GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
417 STATE ST STE 439, BANGOR, ME 04401-6635
(072) 941-8200
(207) 947-4061
Mailing address
417 STATE ST STE 439, BANGOR, ME 04401-6635
(072) 941-8200
(207) 947-4061
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO3082
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OT016038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO3082
MAINE BOARD OF OSTEOPATHIC LICENSURE
ME
Enumeration date
06/27/2014
Last updated
12/19/2023
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