Individual
DR. DIEDERIK FREDERIK MEURSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
Mailing address
1 PLEASANT ST APT 8-1, WESTFORD, MA 01886-2376
(918) 616-0398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-41597
KS
207Q00000X
Family Medicine Physician
Primary
246721
MA
207Q00000X
Family Medicine Physician
24935
OK
208D00000X
General Practice Physician
24935
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200174480A
—
OK
Enumeration date
01/16/2007
Last updated
08/10/2021
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