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Organization
QUEEN ANNE'S MEDICAL CENTER, LLC
Active
Organization
QUEEN ANNE'S MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOHN SPROUSE MD (PHYSICIAN)
(410) 643-6710
Entity
Organization
Contact information
Practice address
2108 REAR DIDONATO DRIVE, CHESTER, MD 21619
(410) 643-6205
(410) 643-6945
Mailing address
2108 REAR DIDONATO DRIVE, CHESTER, MD 21619
(410) 643-6710
(410) 643-6945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D32036
MD
Other
Enumeration date
03/15/2018
Last updated
03/17/2018
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