ELLEN GRACE WISE

BRUNSWICK, ME
NPI1144176538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA3080)
Enumeration Date2026-03-09
Last Update Date2026-07-22
Business Address
ELLEN GRACE WISE
193 BATH RD
BRUNSWICK, ME 04011-2607
Phone number: 207-424-2272
Mailing Address
ELLEN GRACE WISE
360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH, NH 03801-7105
Phone number: 603-410-6700