Individual
IAN DOUGLAS SOMERVILLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 LEWIS ST, HAVRE DE GRACE, MD 21078-3405
(410) 939-5300
(410) 939-6485
Mailing address
400 LEWIS ST, HAVRE DE GRACE, MD 21078-3405
(410) 939-5300
(410) 939-6485
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D14544
MD
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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