Individual
DR. CARRIE L. FREDERICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 ASPEN CREST RD, CUMBERLAND, ME 04021-3823
(207) 829-6536
Mailing address
PO BOX 830, AUBURN, ME 04212-0830
(207) 786-8816
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
012048
ME
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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