Individual provider · Type 1 NPI
Wendy Brown Jorgensen, PAC
Medical Physician Assistant · Manchester, ME
NPI number
1780747519
Active
Practice location
1053 Western Avenue
Manchester, ME 04351
Fax (207) 622-5452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA200 (ME) |
Medical Physician Assistant: Definition to come...
About NPI 1780747519
Wendy Brown Jorgensen, PAC's National Provider Identifier is 1780747519, issued on Dec 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manchester, ME. The record was last updated on Jul 8, 2007.