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Individual
DR. MARK DAVID CHARLSON
Active
Individual
DR. MARK DAVID CHARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
200400468
NC
207X00000X
Orthopaedic Surgery Physician
42-0011585
VT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
42-0011585
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015272
—
VT
Enumeration date
05/18/2006
Last updated
09/25/2012
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