Organization · Type 2 NPI
Mid-North Medical Group Incorporated
Adult Medicine Physician · St. Albans, VT
NPI number
1366516064
Active
Practice location
156 North Main Street
St. Albans, VT 05478
Fax (802) 527-9656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 0420005941 (VT) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1366516064
Mid-North Medical Group Incorporated's National Provider Identifier is 1366516064, issued on Nov 17, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in St. Albans, VT. The record was last updated on Jun 17, 2008.