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Individual

DR. MICHAEL J GERMAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 WASON AVE, SUITE 200, SPRINGFIELD, MA 01107-1119
(413) 733-9666
(413) 750-3432
Mailing address
PO BOX 70266, SPRINGFIELD, MA 01107-1577
(413) 788-6530
(413) 750-3432

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
035668
CT
207RN0300X
Nephrology Physician
Primary
78857
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003087906
CT
05
0144215
MA
05
02492464
NY
05
1004921
VT
05
30206682
NH
Enumeration date
10/24/2005
Last updated
03/05/2014
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