Individual
DR. TANNER EMERSON RUSSELL STOROZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(800) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
042.0018477
VT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125074076
IL
Other
Enumeration date
07/02/2019
Last updated
08/14/2025
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