Individual
DR. GRETCHEN MICHELLE SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
915 MAYNE ST, GYPSUM, CO 81637-9756
(207) 841-5489
Mailing address
915 MAYNE ST, GYPSUM, CO 81637-9756
(207) 841-5489
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1522
ME
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DR.0066995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022904
BC/BS
ME
05
—
333930000
—
ME
01
—
3552748
AETNA
ME
01
—
50ME03079ME02
BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM
ME
01
—
G39038
HARVARD PILGRAM
ME
Enumeration date
09/03/2006
Last updated
12/01/2023
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