Individual
MR. GAVIN M DUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PROFESSIONAL DR STE 2C, SCARBOROUGH, ME 04074-8897
(207) 883-7926
Mailing address
174 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5134
(207) 861-3338
(207) 861-3281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD015525
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116010200
—
ME
Enumeration date
01/25/2007
Last updated
04/08/2024
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