Individual
DR. FRED DONALD VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 E SEVENTH ST, CHARLOTTE, NC 28204-2408
(704) 375-0100
(704) 375-8623
Mailing address
1420 E SEVENTH ST, CHARLOTTE, NC 28204-2408
(704) 375-0100
(704) 375-8623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26065
NC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
26065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8984992
—
NC
Enumeration date
11/07/2005
Last updated
09/02/2010
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