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Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Lifestyle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
260 CREST RD, SUITE 202, SAINT ALBANS, VT 05478-9503
(802) 524-8849
(802) 524-8498
Mailing address
260 CREST RD, SUITE 202, SAINT ALBANS, VT 05478-9503
(802) 524-8849
(802) 524-8498
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/11/2016
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