Individual
SARAH P GREVEN-CHAOUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106
(207) 775-3446
Mailing address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2430
(207) 775-3446
(207) 879-1646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PA001109
ME
208600000X
Surgery Physician
PA1109
ME
363A00000X
Physician Assistant
PA001109
ME
Other
Enumeration date
11/07/2007
Last updated
09/06/2018
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