Most Relevant Information
Provider Data
| NPI Number: | 1003375189 |
| Provider Name: | JONATHAN TAYLOR GRAMMER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2019 |
| Last Updated: | 07/07/2022 |
Provider Practice Location
50 UNION ST
ELLSWORTH
ME
046051534
Practice Location Phone/Fax
| Phone: | 2076645311 |
| Fax: |
Provider Mailing Location
26 COUNTRY WAY
BREWER
ME
044121650
Provider Mailing Phone/Fax
| Phone: | 2054540915 |
| Fax: |