Individual
DR. MICHAEL J BARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ADVENTHEALTH WATERMAN, 1000 WATERMAN WAY, TAVARES, FL 32778
(352) 742-3578
(352) 742-3581
Mailing address
PO BOX 21991, BELFAST, ME 04915-4116
(352) 253-3251
(352) 253-3644
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0420011642
VT
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME144090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015409
—
VT
Enumeration date
08/11/2006
Last updated
03/18/2021
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