| Organization Name: | MID-NORTH MEDICAL GROUP INCORPORATED |
| NPI Number: | 1366516064 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK JOSEPH ZSOLDOS (PRESIDENT) |
| Mailing Address: | 156 North Main Street St Albans |
| State: | VT US |
| Postal Code: | 05478 |
| Phone Number: | 8025242106 |
| Fax Number: | 8025279656 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 0420005941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |