Individual
FRANK SCOTT GOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25A JUNE ST STE 16, SANFORD, ME 04073-2615
(207) 324-1488
Mailing address
PO BOX 233, SANFORD, ME 04073
(207) 459-7195
(207) 459-7609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101013602
ME
207X00000X
Orthopaedic Surgery Physician
Primary
DO1751
ME
208600000X
Surgery Physician
DO1751
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261390099
—
ME
Enumeration date
03/31/2006
Last updated
03/11/2019
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