Individual
DR. LARS MIKAEL QVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 GRACELAWN RD, SUITE 101, AUBURN, ME 04210-6334
(207) 333-4710
(207) 333-4715
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD20434
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ME
Enumeration date
06/30/2009
Last updated
02/18/2019
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