| Frederick A Van Mourik, | |
|
116 Shaker Rd, Gray, Gray, ME 04039-9629 | |
| (207) 657-3308 | |
| (207) 657-3309 |
| Full Name | Frederick A Van Mourik |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 116 Shaker Rd, Gray, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932188323 | NPI | - | NPPES |
| 000203013 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12383 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick A Van Mourik, 116 Shaker Rd, Gray, Gray, ME 04039-9629 Ph: (207) 657-3308 | Frederick A Van Mourik, 116 Shaker Rd, Gray, Gray, ME 04039-9629 Ph: (207) 657-3308 |
Manju Hilary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Shaker Rd, Gray, ME 04039 Phone: 207-657-3308 Fax: 207-657-3309 | |
Benjamin Slocum, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Shaker Rd, Gray, ME 04039 Phone: 207-657-3308 |