Individual
MR. GEORGE CHARLES FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 TROUT AVE, GROTON, CT 06340-0634
(904) 673-1037
Mailing address
78 DEERWOOD DR, GROTON, CT 06340-2516
(904) 673-1037
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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