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Dr. Gregory L. Penner, MD
Specialist in Brunswick, Maine
NPI 1275610198

Gregory L. Penner is a Specialist based in Brunswick, ME. Gregory L. Penner practices in Brunswick, ME and has the professional credentials of MD. The NPI Number for Gregory L. Penner is 1275610198 and holds a License No. 12949 (Maine).

The current practice location address for Gregory L. Penner is 331 Maine St Ste 4, Brunswick, ME and can be reached out via phone at 207-721-0911 and via fax at 207-721-9729.

Location: 331 Maine St Ste 4, Brunswick, ME, 04011-3358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275610198
Provider Name
Gregory L. Penner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
331 Maine St Ste 4, Brunswick, ME, 04011-3358
Phone Number
207-721-0911
Fax Number
207-721-9729
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
017636 01 ME BS
1027557 01 ME AETNA
122050000 05 ME
institution
Provider Business Practice Location Address Details
Address
331 Maine St Ste 4
City
Brunswick
State
Maine
Zip
04011-3359
Phone Number
207-721-0911
Fax Number
207-721-9729
person
Provider Business Mailing Address Details
Address
331 Maine St Ste 4
City
Brunswick
State
Maine
Zip
04011-3359
Phone Number
207-721-0911
Fax Number
207-721-9729
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12949 (Maine)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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