Individual
DR. BONNIE DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
(603) 752-7797
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
(603) 752-1709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21756
NH
207Q00000X
Family Medicine Physician
60830957
WA
207Q00000X
Family Medicine Physician
MD19394
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922242163
—
ME
Enumeration date
04/30/2009
Last updated
09/09/2021
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