Individual provider · Type 1 NPI

Madison Grace Dobecki, PA-C

Surgical Physician Assistant · Portland, ME

NPI number 1841042983 Active

Practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

818 Congress St
Portland, ME 04102-3112

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XPA2639 (ME)
Surgical Physician Assistant Primary 363AS0400XPA26399 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1841042983

Madison Grace Dobecki, PA-C's National Provider Identifier is 1841042983, issued on Apr 2, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Apr 16, 2024.