Individual
DR. MICHAEL FREDERICK DE BRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
VA OUTPATIENT CLINIC, 605 LINCOLN STREET, WORCESTER, MA 01605-1901
(800) 865-3384
(508) 856-7425
Mailing address
VA OUTPATIENT CLINIC, 605 LINCOLN STREET, WORCESTER, MA 01605-1901
(800) 865-3384
(508) 856-7425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78648
MA
207RI0200X
Infectious Disease Physician
78648
MA
Other
Enumeration date
06/10/2006
Last updated
10/18/2009
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