John C Brewer, D.O.
Family Medicine in Gorham, ME. Individual provider (NPI-1).
NPI number1972691939
StatusActive
Last updated in NPPESJan 16, 2012
Details
- NPI
- 1972691939
- Entity type
- Individual (NPI-1)
- Name
- John C Brewer
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jan 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1161 | ME | Yes |
Practice location
19 S Gorham XingGorham, ME 04038-2690
Phone 207-839-9101 · Fax 207-839-9201
Mailing address
144 State StPortland, ME 04101-3776
Phone 207-879-3000
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