Individual
MICHAEL C MCGOLDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST, SUITE 321, BANGOR, ME 04401
(207) 973-8833
(207) 973-8836
Mailing address
417 STATE ST, SUITE 321, BANGOR, ME 04401
(207) 973-8833
(207) 973-8836
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
017221
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432325999
—
ME
Enumeration date
08/20/2006
Last updated
08/04/2010
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