Individual
RAYMOND W. FLUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4400
Mailing address
25 FIRST PARK DR, STE A, OAKLAND, ME 04963-5369
(207) 873-4325
(207) 873-4344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015755
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201770099
—
ME
Enumeration date
06/16/2006
Last updated
10/26/2012
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