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Individual
DR. DANIEL DEAN SACKETT
Active
Individual
DR. DANIEL DEAN SACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
042-0015288
VT
208800000X
Urology Physician
MT190613
PA
Other
Enumeration date
05/22/2007
Last updated
08/09/2021
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