Mark W Fourre, MD

NPI #1588653018 in Portland, Maine

Provider Information

NPI Number: 1588653018
Entity Type: Individual
Name: Mark W Fourre, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Oct 18, 2005
Last Updated: Sep 19, 2012

Practice Location

Address: 22 BRAMHALL ST
City: Portland
State: Maine
ZIP Code: 04102-3134
Phone: (207) 662-7046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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