Individual
MAIRE BRID MACBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBCH
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(508) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(508) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
038546
MN
207R00000X
Internal Medicine Physician
Primary
38546
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237823000
—
MN
05
—
35235200
—
WI
05
—
ENROLLED
—
IA
01
—
P00937244
RAILROAD MEDICARE
MN
Enumeration date
05/17/2006
Last updated
08/12/2011
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