Individual
GALE C TINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
489 STATE ST, VASCULAR CARE OF MAINE, BANGOR, ME 04401-6616
(207) 973-6670
(207) 973-5226
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA219
ID
363A00000X
Physician Assistant
Primary
PA642
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010136926
REGENCE BLUE SHIELD OF ID
ID
01
—
PASG4
BLUE CROSS OF ID
ID
Enumeration date
08/16/2005
Last updated
04/08/2008
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