Individual
CAMERON GRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Mailing address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20591
ME
Other
Enumeration date
06/24/2010
Last updated
03/09/2021
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