Organization
QUEEN ANNE'S MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOHN SPROUSE MD (PHYSICIAN)
(410) 643-6710
Entity
Organization
Contact information
Practice address
2108 REAR DIDONATO DRIVE, CHESTER, MD 21619
(410) 643-6205
(410) 643-6945
Mailing address
2108 REAR DIDONATO DRIVE, CHESTER, MD 21619
(410) 643-6710
(410) 643-6945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D32036
MD
Other
Enumeration date
03/15/2018
Last updated
03/17/2018
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