Individual
MICHELE L FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PALMER RD, SKOWHEGAN, ME 04976-4950
(207) 474-8202
Mailing address
50 PALMER RD, SKOWHEGAN, ME 04976-4950
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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