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Individual

ELIZABETH FRUTIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
223816
MA
207Q00000X
Family Medicine Physician
A95618
CA
207Q00000X
Family Medicine Physician
Primary
MD19570
ME

Other

Enumeration date
11/28/2005
Last updated
03/16/2023
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