Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CR 2354 | ME |
NPI | 1548460769 |
---|---|
Provider Name | Dr. Kurt Arthur Vreeland |
First Address | Waldoboro, ME 04572-6057 |
Second Address | Waldoboro, ME 04572-6057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 18/04/2017 |