Frederick A Van Mourik

NPI #1932188323 in Gray, Maine

Provider Information

NPI Number: 1932188323
Entity Type: Individual
Name: Frederick A Van Mourik
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jan 13, 2006
Last Updated: Mar 21, 2008

Practice Location

Address: 116 SHAKER RD
Address 2: GRAY
City: Gray
State: Maine
ZIP Code: 04039-9629
Phone: (207) 657-3308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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