Individual
MICHAEL REID MINDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 S MAIN ST, BARRE INTERNAL MEDICINE, BARRE, VT 05641-4815
(802) 479-3302
(802) 479-2517
Mailing address
PO BOX 547, CVMC MEDICAL GROUP PRACTICES, BARRE, VT 05641-0547
(802) 371-5326
(802) 371-5339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0011197
VT
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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